EP.FRI.48 Right iliac fossa pain in females: more than appendixes and ovarian cysts; Haemorrhagic Cyst in the Canal of Nuck: A Case Report

Abstract Case report A 43-year-old woman presented with acute onset migratory right iliac fossa pain, on a background of intermittently painful groin swelling. CT demonstrated differential diagnosis appendicitis besides an ovarian cyst. Diagnostic laparoscopy was undertaken view to and treat possible appendicitis, cyst inguinal hernia. To our surprise, haemorrhagic nuchal seen intraoperatively, duly aspirated. Post-operatively she recovered well discharged the same day. Introduction The Canal Nuck is small evagination parietal peritoneum which accompanies round ligament through canal, in females. It obliterated first year life. When this remains patent, it can fill fluid result formation cysts (akin hydroceles patent processus vaginalis). In current literature there are only sixteen case reports adults, one reported. These typically diagnosed children, but occasionally present women (aged 35.18 ± 3.27) swelling frequently misdiagnosed as hernias. when these taken theatre, that correct discovered. Conclusion This highlights importance considering swellings, ensure quick appropriate management delivered under speciality.