Department of Gynecological Endoscopic Surgery, Hospital 12 de Octubre, Madrid, Spain.
Fertil Steril. 2011 Aug;96(2):e103-5. doi: 10.1016/j.fertnstert.2011.05.083. Epub 2011 Jun 29.
To report a case of uncommon endometriosis located in the Nuck's duct and its laparoscopic resolution.
Case report.
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.
报告一例罕见的位于 Nuck 管的子宫内膜异位症病例，并对其进行腹腔镜治疗。
病例报告。
马德里 12 月 12 日大学医院妇科。
一名 35 岁妇女，初产妇，右侧腹股沟出现肿块。她因急性肾盂肾炎接受了右肾切除术。计算机断层扫描显示一个囊性病变，提示 Nuck 管囊肿。进行了细针抽吸细胞学检查，确定为子宫内膜异位症。
通过腹腔镜手术切除囊肿并闭合内环的缺陷。
无疾病。
腹腔镜手术成功进行。术后恢复良好，患者术后 2 天出院。
腹股沟或 Nuck 管均为子宫内膜异位症的罕见部位；因此，对于没有手术史的患者，很难怀疑。一旦确诊，治疗包括切除子宫内膜异位瘤和修复内环。如有可能，应考虑腹腔镜方法。
