Ectopic pregnancy developing in a cyst of the canal of Nuck.

Obstet Gynecol

Departments of Obstetrics and Gynecology, Surgery, and Pathology, Fukaya Red Cross Hospital, Fukaya City, Saitama, and the Department of Obstetrics and Gynecology, Tatedebari Sato Hospital, Takasaki City, Gunma, Japan.

Published: February 2014

AI Article Synopsis

  • A cyst of the canal of Nuck is a rare cause of groin swelling in adult women, often mistaken for other issues.
  • A 45-year-old woman experienced painful groin swelling and tested positive for pregnancy, leading to the diagnosis of an ectopic pregnancy in the right inguinal canal through imaging and surgery.
  • It is crucial to consider ectopic pregnancy in the canal of Nuck when women of reproductive age present with groin swelling, as it can be challenging to diagnose.

Article Abstract

Background: A cyst of the canal of Nuck is a rare cause of inguinal swelling in adult women. Ectopic pregnancies that implant to rare regions are sometimes challenging to diagnose.

Case: A 45-year-old woman presented with painful swelling in her right groin with a positive urine pregnancy test. Ultrasonography, magnetic resonance imaging, and the histopathologic result of dilation and curettage suggested ectopic pregnancy in the right inguinal canal. Exploratory laparotomy, extraction of the right inguinal mass lesion, and closure of the deep inguinal ring were performed. The mass lesion measured 4×3 cm, and the histopathologic finding revealed an unusual ectopic pregnancy in the cyst of the canal of Nuck.

Conclusion: In women of reproductive age presenting with painful swelling of the groin, ectopic pregnancy in a cyst of the canal of Nuck should be ruled out.

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Source
http://dx.doi.org/10.1097/AOG.0000000000000099DOI Listing

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