A laparoscopic approach to Nuck's duct endometriosis

Jesús S. Jiménez López, Jesus S Jiménez, Patricia Barbero, Alvaro Tejerizo, A. Tejerizo-García, Tejerizo A, Guillén C, Carmen Guillén‐Ponce, Carmen Guillén, Carol Strate, Strate C, C. Strate
Fertility and sterility · 2011 · vol. 96(2) , pp. e103–e105 · doi:10.1016/j.fertnstert.2011.05.083 · PMID:21719002 · W2005811869
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This paper describes a laparoscopic surgical technique for treating endometriosis involving Nuck's duct.

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Abstract

OBJECTIVE: To report a case of uncommon endometriosis located in the Nuck's duct and its laparoscopic resolution. DESIGN: Case report. SETTING: Gynecologic department at 12 de Octubre University Hospital, Madrid. PATIENT(S): A 35-year-old woman, gravida 1 para 1, presented with an inguinal right mass. She had a right nephrectomy because of acute pyelonephritis. Computed tomography showed a cystic lesion that was suggestive of a Nuck's duct cyst. Fine-needle aspiration cytology was performed, and endometriosis was determined. INTERVENTION(S): Cyst removal and closure of the internal inguinal ring's defect by the laparoscopic approach. MAIN OUTCOME MEASURE(S): Disease free. RESULT(S): The intervention was successfully performed by laparoscopic approach. The postoperative evolution was good, and the patient was discharged 2 days after surgery. CONCLUSION(S): Inguinal or Nuck's duct are both uncommon locations for endometriosis; therefore, it is difficult to suspect in patients without a surgical history. Once identified, the treatment involves removal of the endometrioma and repair of the internal inguinal ring. A laparoscopic approach should be considered when possible.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Inguinal Canal Laparoscopy Laparoscopy Peritoneal Diseases Adult Adult Biopsy, Fine-Needle Biopsy, Fine-Needle Endometriosis Endometriosis Endometriosis Female Female Humans Humans Inguinal Canal Inguinal Canal Inguinal Canal Inguinal Canal

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License: CC0 · commercial use OK