Our patient was a 78-year-old woman with a large indirect inguinal hernia who underwent Lichtenstein repair. Literature review of the pathophysiology of indirect hernias revealed important discussion of the canal of Nuck in women and understanding embryologic development of ovaries and descent of testes.
MurphyBLUblDSZhangJHabermannEBFarleyDRPaleyK. Trends of inguinal hernia repairs performed for recurrence in the United States. Surgery. 2018;163(2):343-350.
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NasserHKingMRosenbergHRosenAWilckESimpsonW. Anatomy and pathology of the canal of Nuck. Clin Imag. 2018;51:83-92.
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HutsonJMKearseyI. Is the ovary in an inguinal hernia descended like a testis or not?J Pediatr Surg. 2016;51:1197-1200.
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PatelBZivinSPanchalNWilburABreslerM. Sonography of female genital hernias presenting as labia major masses. J Ultrasound Med. 2014;33:155-159. doi:10.7863/ultra.33.1.155
