A laparoscopic approach to Nuck's duct endometriosis.

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.