Challenge in the management of endometriosis in the canal of Nuck.
OBJECTIVE
To report a case of endometriosis located at an unusual site in the canal of Nuck.


METHODS
Case report.


METHODS
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital.


METHODS
A 35-year-old woman with no previous history of surgery had endometriosis in the canal of Nuck excised incompletely via an open skin method. Recurrent endometriosis at the canal of Nuck was noted 9 months later despite postoperative medical treatment.


METHODS
Laparoscopic surgery and open skin method.


METHODS
Removal of endometriosis in the canal of Nuck and repair of the inguinal ring.


RESULTS
The patent left canal of Nuck identified, endometriosis completely resected, and the inguinal ring closed. She was well 12 months after the second surgery.


CONCLUSIONS
We suggest that when encountering endometriosis in the canal of Nuck, removing all involved lesions and closing of the internal inguinal ring is indicated.
Wang
Chin-Jung
CJ
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Taoyuan, Taiwan, Republic of China.
Chao
An-Shine
AS
Wang
Tzu-Hao
TH
Wu
Chun-Te
CT
Chao
Angel
A
Lai
Chyong-Huey
CH
D000328:Adult; D003277:Contraceptives, Oral, Combined / Q000627:therapeutic use; D003613:Danazol / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D004715:Endometriosis / Q000188:drug therapy / Q000601:surgery*; D004997:Ethinyl Estradiol / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007264:Inguinal Canal / Q000601:surgery*; D010535:Laparoscopy; D009652:Norpregnenes / Q000627:therapeutic use; D012008:Recurrence; D012086:Reoperation; D016896:Treatment Outcome
D003277:Contraceptives, Oral, Combined; D009652:Norpregnenes; C033273:Gestodene; D004997:Ethinyl Estradiol; D003613:Danazol