Canal of Nuck hernia as an unusual cause of inguinal pain in women: a case report and laparoscopic management.

Abstract

We report a rare case of canal of Nuck herniation in an adult woman. It results from a persistent processus vaginalis, which can lead to the formation of hernias or hydroceles. A 34-year-old woman presented with acute right inguinal pain, and an ultrasound revealed a patent canal of Nuck containing a herniated intra-abdominal structure. The patient underwent laparoscopic transabdominal preperitoneal inguinal hernia repair, during which the hernia sac was successfully managed, and a polypropylene mesh was placed to reinforce the myopectineal orifice. This minimally invasive approach contributed to a rapid postoperative recovery, as evidenced by discharge on the first postoperative day. This case report underscores the importance of early imaging in diagnosing rare inguinal hernias in women and demonstrates the safety and effectiveness of laparoscopic transabdominal preperitoneal repair for canal of Nuck herniation.