Spermatic cord lipoma and its clinical significance

Chinmay S. Gandhi

doi:10.18203/2349-2902.isj20253842

Authors

Chinmay S. Gandhi Department of Surgery, Bharati Vidyapeeth Deemed to be University Medical College and Hospital, Sangli, Maharashtra, India

DOI:

https://doi.org/10.18203/2349-2902.isj20253842

Keywords:

Inguinal hernia, Chronic groin pain, Spermatic cord lipoma, Inguinal hernia recurrence

Abstract

Cord lipoma is frequently seen during open inguinal hernia surgery. Author has selected three of his cases for discussion. These three cases represent various clinical presentations in which cord lipoma can cause recurrence, pseudo recurrence and inguinal pain. Author like to discuss clinical presentation, investigation and management of cord lipoma. This will help surgeons to know clinical significance of spermatic cord lipoma.

Metrics

Metrics Loading ...

References

Tobin CE, Benjamin JA, Wells JC. Continuity of the fascial lining the abdomen, pelvis, and spermatic cord surgery. Gynecol Obstet. 1946;85:575-96.

Heller CA, Marucci DD, Dunn T, Barr EB, Hang M, Dos Remidios C. inguinal canal lipoma. Clin Anat. 2002;15:280-5. DOI: https://doi.org/10.1002/ca.10030

Nasr AO, Tormey S, Walsh TN. Lipoma of the cord and round ligament: an overlooked diagnosis? Hernia. 2005;9:245-7. DOI: https://doi.org/10.1007/s10029-005-0335-9

Yener O, Demir M, Yigitbasi R, Yilmaz A. Missed lipoma of the spermatic cord. Prague Med Rep. 2013;144:5-8. DOI: https://doi.org/10.14712/23362936.2014.32

Lau H, Loong F, Yuen WK, Patil NG. Management of herniated retroperitoneal extraperitoneal inguinal adipose tissue hernioplasty. Surg Endosc. 2007;21:1612-6. DOI: https://doi.org/10.1007/s00464-007-9205-0

Köckerling F, Schug-Pass C. Spermatic Cord Lipoma-A Review of the Literature. Front Surg. 2020;7:39. DOI: https://doi.org/10.3389/fsurg.2020.00039

Miserez M, Alexandre JH, Campanelli G, Corcione F, Cuccurullo D, Pascual MH, et al. The European hernia society groin hernia classification: simple and easy to remember. Hernia. 2007;11:113-6. DOI: https://doi.org/10.1007/s10029-007-0198-3

Lilly MC, Arregui ME. Ultrasound of the inguinal floor for evaluation of hernias. Surg Endosc. 2002;16:659-62. DOI: https://doi.org/10.1007/s00464-001-8145-3

Furtschegger A, Sandbichler P, Judmaier W, Gstir H, Steiner E, Egender G. Sonography in the postoperative evaluation of laparoscopic inguinal hernia repair. J Ultrasound Med. 1995;14:679-84. DOI: https://doi.org/10.7863/jum.1995.14.9.679

Shpitz B, Kuriansky J, Werner M, Osadchi A, Tiomkin V, Bugayev N, et al. Early postoperative evaluation of groins after laparoscopic total extra peritoneal repair of inguinal hernias. J Laparoendosc Adv Surg Tech. 2004;14:353-7. DOI: https://doi.org/10.1089/1092642042728049

Tosun S, Ekinci O. Missed inguinal cord lipoma may mimic recurrence following endoscopic repair of groin hernias. Indian J Surg. 2020;82:610-5. DOI: https://doi.org/10.1007/s12262-020-02078-1

Garvey JFW. Computed tomography scan diagnosis of occult groin hernia. Hernia. 2012;16:307-14. DOI: https://doi.org/10.1007/s10029-011-0899-5

Fataar S. CT of inguinal canal lipomas and fat-containing inguinal hernias. J Med Imaging Radiat Oncol. 2011;55:485-92. DOI: https://doi.org/10.1111/j.1754-9485.2011.02288.x

Gerych I, Ivankiv T, Ogustsov O, Kalynovych N. Giant right going lipoma mimicking inguinal hernia. Int J Surg Case Rep. 2015;12:106-7. DOI: https://doi.org/10.1016/j.ijscr.2015.03.056

Bittner R, Arregui ME, Bisgaard T, Dudai M, Ferzli GS, Fitzgibbons RJ, et al. Guidelines for laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal hernia [International Endohernia Society (IEHS)]. Surg Endosc. 2011;25:2773-843. DOI: https://doi.org/10.1007/s00464-011-1799-6

Carilli S, Alper A, Emre A. Inguinal cord lipomas. Hernia. 2004;8:252-4. DOI: https://doi.org/10.1007/s10029-004-0231-8

Lilly MC, Arregui ME. Lipomas of the cord and round ligament. Ann Surg. 2002;235:586-90. DOI: https://doi.org/10.1097/00000658-200204000-00018