Endometriosis of canal of Nuck

Endometriosis affecting the canal of Nuck is an extremely rare site for endometriosis. It is proposed that retrograde implantation of endometrial tissue into patent canal of Nuck could give rise to the condition.

The condition is presented as a painful inguinal swelling. Usually unaffected by menstrual cycle1.

Ultrasound

It appears as a hypoechoic nodule with poor through transmission2.

MRI

MRI can provide diagnosis and evaluation of extension of endometriosis. There are two patterns observed prevalently solid and prevalently cystic. Areas of haemorrhage can be appreciated2,3.  

  • T1
    • it appears homogeneously hypointense nodule and with hyperintense areas it there is hemorrhage.
  • T2
    • it appears as an intermediate signal intensity lesion
  • T1 C+ (Gd)
    • homogeneous enhancement seen

 

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Article information

rID: 39782
System: Gynaecology
Section: Pathology
Synonyms or Alternate Spellings:
  • Endometriosis affecting the canal of Nuck
  • Canal of Nuck endometriosis

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