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隐秘深处:揭示圆韧带鞘膜内子宫内膜异位症

Hidden Depths: Unveiling Endometriosis in the Canal of Nuck.

作者信息

Nimodia Devyansh, Parihar Pratapsingh, Banode Pankaj, Dudhe Sakshi S, Desale Prasad, Gaur Shubhi

机构信息

Radiodiagnosis, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Interventional Radiology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Jul 20;16(7):e64975. doi: 10.7759/cureus.64975. eCollection 2024 Jul.

Abstract

Endometriosis located within the canal of Nuck represents a highly uncommon occurrence, often posing a diagnostic challenge due to its atypical site and varied clinical presentations. The case of a 31-year-old female who presented with groin swelling and subsequent suprapubic pain for a duration of two years is described in this study. Utilizing magnetic resonance imaging (MRI), a cystic lesion was detected within the canal of Nuck, raising suspicion of endometriosis. Surgical exploration confirmed the presence of endometrial implants, supporting the initial radiological findings. This particular case emphasizes the significance of imaging techniques in diagnosing endometriosis in unusual sites, thereby enabling timely interventions and enhancing patient outcomes. Furthermore, it underscores the necessity of a multidisciplinary approach involving radiologists, gynecologists, and surgeons in ensuring comprehensive care for such patients. In the subsequent sections, we endeavor to present a unique instance of endometriosis within the canal of Nuck, a condition scarcely documented in the existing global literature. Our objective is to heighten awareness and encourage the consideration of endometriosis as a potential differential diagnosis in females presenting with inguinal masses and pelvic discomfort.

摘要

位于Nuck管内的子宫内膜异位症极为罕见,因其非典型部位和多样的临床表现,常给诊断带来挑战。本研究描述了一名31岁女性的病例,她出现腹股沟肿胀及随后的耻骨上疼痛,持续了两年。利用磁共振成像(MRI),在Nuck管内检测到一个囊性病变,怀疑为子宫内膜异位症。手术探查证实存在子宫内膜植入物,支持了最初的影像学检查结果。这个特殊病例强调了成像技术在诊断非寻常部位子宫内膜异位症中的重要性,从而能够及时进行干预并改善患者预后。此外,它强调了放射科医生、妇科医生和外科医生采用多学科方法确保对此类患者进行全面护理的必要性。在后续章节中,我们努力呈现Nuck管内子宫内膜异位症的一个独特病例,这种情况在现有的全球文献中鲜有记载。我们的目标是提高认识,并鼓励将子宫内膜异位症作为出现腹股沟肿块和盆腔不适的女性的潜在鉴别诊断加以考虑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4947/11333021/bb9500103e65/cureus-0016-00000064975-i01.jpg

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