Laparoscopic treatment of a Nuck cyst with an inguinal hernia

Nuck's canal cysts are rare surgical embryological anomalies primarily observed in females under 5 years of age. They occur due to a failure of the processus vaginalis to completely obliterate, a process that should be complete within the first year of life. Clinically, these cysts manifest as a mass in the inguinal region or labia majora, which may or may not be associated with pain. This report presents the case of a 29-year-old female patient who presented with a painful mass in the right inguinal region. An abdominal wall ultrasound and magnetic resonance imaging revealed a right inguinal cystic lesion. A diagnostic and therapeutic laparoscopy was performed and revealed a cystic tumour adjacent to the round ligament. The tumour was treated through a transabdominal preperitoneal approach. The patient was discharged without complications and experienced no complications during subsequent follow-ups.