Presentation
Painful inguinal lump.
Patient Data
Age: 35 years
Gender: Female
From the case:
Endometriosis of the canal of nuck
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There is a right inguinal spiculated mass.
From the case:
Endometriosis of the canal of nuck
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There is an irregular solid lesion in the right canal of Nuck, centered on the round ligament, and containing foci of hemorrhage (hyperintensity on T1 and T2 images) measuring 22 x 15 x 30 mm.
There is no inguinal or pelvic lymphadenopathy.
The ovaries and uterus are unremarkable.
No significant thickening of the uterosacral ligaments.
Case Discussion
The cyclical nature of the pain, along with the MRI findings from the MRI, is highly suggestive of endometriosis.
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