title: Challenge in the management of endometriosis in the canal of Nuck.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Taoyuan, Taiwan, Republic of China.
authors.forename: Chin-Jung
authors.initials: CJ
authors.lastname: Wang
authors.forename: An-Shine
authors.initials: AS
authors.lastname: Chao
authors.forename: Tzu-Hao
authors.initials: TH
authors.lastname: Wang
authors.forename: Chun-Te
authors.initials: CT
authors.lastname: Wu
authors.forename: Angel
authors.initials: A
authors.lastname: Chao
authors.forename: Chyong-Huey
authors.initials: CH
authors.lastname: Lai
mesh_terms: 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
chemical_list: D003277:Contraceptives, Oral, Combined; D009652:Norpregnenes; C033273:Gestodene; D004997:Ethinyl Estradiol; D003613:Danazol