Canal of Nuck hernia as an unusual cause of inguinal pain in women: a case report and laparoscopic management.
Claudio Zambotti, Giovanna Paes Scarin, Alexia Nascimento Arias et al.
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Case in brief
A 34-year-old woman presented with acute right inguinal pain. Ultrasound imaging revealed a patent canal of Nuck containing a herniated intra-abdominal structure. The patient underwent laparoscopic transabdominal preperitoneal inguinal hernia repair, successfully managing the hernia sac and reinforcing the myopectineal orifice with polypropylene mesh. She experienced a rapid recovery, being discharged on the first postoperative day.
What made this case unusual
The case highlights canal of Nuck herniation as a rare cause of inguinal pain in adult women, which is often overlooked in differential diagnoses.
Diagnostic / clinical pearl
Clinicians should consider canal of Nuck hernia in women presenting with inguinal pain, especially when imaging reveals a patent canal.
Why it matters
This case emphasizes the need for early imaging in diagnosing uncommon hernias in women and supports the use of laparoscopic techniques for effective management.