INFILTRATIVE ENDOMETRIOSIS OF THE NUCK CANAL IN PARAÍBA: TECHNICAL DESCRIPTION OF SURGICAL MANAGEMENT

Abstract

Introduction: Patient, female, 41 years old, nulliparous, reports chronic pelvic pain,
dyspareunia and severe dysmenorrhea, progressive swelling and pain in the right inguinal
region, with a strong impact on her quality of life. Objectives: To describe the surgical
technique used in the treatment of a case of infiltrative endometriosis of the Nuck's canal,
exploring the technique used, therefore, the knowledge of this condition by the academic
community is relevant. Methodology: Information will be obtained by reviewing the medical
records, interviewing the patient, photographing the diagnostic methods to which the patient
was submitted and reviewing the literature. Results: The patient reports chronic pelvic pain,
dyspareunia and severe dysmenorrhea, swelling and pain in the right inguinal region, which
radiates to the lower portion of the abdomen, which worsens during menstruation. Associated
with these symptoms, the patient reports pain in the right lower limb. She also reports that she
has painful evacuation effort and constipation, and she denied a history of lower urinary tract
symptoms. Conclusion: Imaging tests and anatomopathological study were requested, which
showed solid formation centered on the distal portion of the right inguinal canal. After the
removal of the nodular tissue fragment by means of videolaparoscopic surgery, the patient has
an excellent prognosis. Pathology confirmed the diagnosis of endometriosis of Nuck's canal.