Preoperatively Diagnosed Hydrocele of the Canal of Nuck in an Endometriosis Patient—A Case Report—

Abstract

A 34-year-old woman presented with a bulge in the right groin that developed repeatedly for the past ten years. On presentation, a mildly tender cord-like structure was palpable in the right groin. On abdominal ultrasound, a 28-mm cystic mass was seen in the right groin. Based on the repeated change in symptoms, endometriosis with a hydrocele of the canal of Nuck was suspected, and this was diagnosed by magnetic resonance imaging during menstruation. The mass was excised via an inguinal incision, and histopathological testing confirmed the presence of endometrial and stromal components within the hydrocele. Because the patient wanted to have children, postoperative drug therapy was not administered, and as of 3 months postoperatively, there has been no recurrence.