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Giant lipoma of spermatic cord mimcs irreducible inguinal hernia: a case report
Yu-Tang Chang1, Che-Jen Huang, Jan-Sing Hsieh
1Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
Abstract:
Inguinal herniorrhaphy is the most common general surgical operation performed. Although fatty protrusions are often observed along the path of the spermatic cord, true lipomas are not commonly reported. We encountered a 42-year-old male patient who developed a large lipoma of the right spermatic cord with indirect inguinal hernia. After herniorrhaphy and tumor excision, the patient had an uneventful convalescence. There has been no recurrence up to the time of writing (20 months).
Insights
A large lipoma of the spermatic cord, a rare finding, was successfully treated with inguinal herniorrhaphy and tumor excision in a 42-year-old male. The patient experienced an uneventful recovery with no recurrence after 20 months.
Area of Science:
- General Surgery
- Surgical Oncology
- Spermatic Cord Anatomy
Background:
- Inguinal herniorrhaphy is a common surgical procedure.
- Fatty protrusions near the spermatic cord are sometimes observed.
- True lipomas of the spermatic cord are infrequently reported.
Observation:
- A 42-year-old male presented with a large lipoma of the right spermatic cord.
- The patient also had an indirect inguinal hernia.
Findings:
- The patient underwent successful herniorrhaphy and lipoma excision.
- The postoperative recovery was uneventful.
- No recurrence of the lipoma or hernia was noted at 20 months post-surgery.
Implications:
- This case highlights the possibility of large spermatic cord lipomas co-occurring with inguinal hernias.
- Surgical management involving herniorrhaphy and tumor excision appears effective for this rare condition.
- Long-term follow-up is important to confirm the absence of recurrence.
