True Giant Spermatic Cord Lipoma Mimicking Irreducible Inguinal Hernia: A Case Report.
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2019, Vol 4, Issue 1
Abstract
True giant spermatic cord lipoma (TGSCL) is an uncommon finding. We are reporting a case of 40-year-old male who presented with right groin swelling initially diagnosed as irreducible inguinal hernia. On exploration a TGSCL was found which was associated with small direct inguinal hernia. Excision of lipoma and mesh hernioplasty was done. Post-operative course was uneventful. True lipoma of spermatic cord is defined only if there is no connection to the extra-peritoneal fat and it is confined to the inguinal canal in contrast to fatty protrusion of spermatic cord which is due to retroperitoneal fat insinuating itself through the internal ring. Differentiation between irreducible inguinal hernias from lipoma is difficult during physical examination. Diagnosis is confirmed by ultrasonography and computed tomography scan. Treatment is excision and biopsy of the lipoma of the cord with repair of any associated hernia.
Authors and Affiliations
Dr Neeraj Kumar Dewanda
Keywords
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