title: A laparoscopic approach to Nuck's duct endometriosis.
abstract: OBJECTIVE
  To report a case of uncommon endometriosis located in the Nuck's duct and its laparoscopic resolution.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Gynecologic department at 12 de Octubre University Hospital, Madrid.
  
  
  METHODS
  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.
  
  
  METHODS
  Cyst removal and closure of the internal inguinal ring's defect by the laparoscopic approach.
  
  
  METHODS
  Disease free.
  
  
  RESULTS
  The intervention was successfully performed by laparoscopic approach. The postoperative evolution was good, and the patient was discharged 2 days after surgery.
  
  
  CONCLUSIONS
  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.
authors: Department of Gynecological Endoscopic Surgery, Hospital 12 de Octubre, Madrid, Spain. jjimenez.hdoc@salud.madrid.org
authors: Jesus S
authors: JS
authors: Jiménez
authors: Patricia
authors: P
authors: Barbero
authors: Alvaro
authors: A
authors: Tejerizo
authors: Carmen
authors: C
authors: Guillén
authors: Carol
authors: C
authors: Strate
mesh_terms: D000328:Adult; D044963:Biopsy, Fine-Needle; D004715:Endometriosis / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D007264:Inguinal Canal / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D010535:Laparoscopy; D010532:Peritoneal Diseases / Q000175:diagnosis / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome