ArticleCureus2026
An Unusual Diagnosis of Inguinal Pain in a Childbearing-Age Woman: An Inflamed Canal of Nuck Cyst With an Abnormal Leiomyomatous Proliferation.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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9 authors.
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Abstract
The canal of Nuck cyst is a rare pathology seen in women in the inguinal canal. It is often mistaken for a hernia or a lipoma; however, diagnosis is confirmed on surgical exploration and histopathological examination. We present a case of a 38-year-old woman, gravida 2 para 2, with progressively worsening left lower quadrant abdominal and groin pain over two months. Imaging identified a small cystic structure in the canal of Nuck that had increased in size and demonstrated surrounding inflammatory changes. She underwent a laparoscopic transabdominal preperitoneal exploration; the canal lesion was excised, and the associated inguinal hernia was repaired. Histopathological findings were consistent with leiomyomatous proliferation. We report a rare case of severe groin pain in a childbearing-age woman to highlight the differential diagnosis and describe this unusual finding. Documenting such cases is important for improving our understanding of canal of Nuck cysts and their pathogenesis.
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