Surgical management of a giant lipoma initially misdiagnosed as an inguinal hernia

Lipomas in the inguinal region are relatively uncommon and are frequently misdiagnosed as inguinal hernias. This article reports the case of a 64-year-old male patient who presented with a giant lipoma in the right inguinal region, initially misdiagnosed as a right inguinal hernia. The diagnosis was confirmed through a series of diagnostic evaluations, including ultrasound, CT, and MRI imaging, followed by surgical intervention. A longitudinal incision was made, and the mass was carefully dissected and excised. The patient underwent successful surgery, and postoperative pathological examination confirmed the diagnosis of a giant lipoma. Post-surgery, the patient experienced an uneventful recovery and was discharged after five days, with no recurrence observed during a six-month follow-up. This case emphasizes the importance of considering lipomas in the differential diagnosis of inguinal masses and highlights the value of appropriate imaging and surgical management in achieving a favorable outcome. The case provides valuable insights for clinical diagnosis, surgical treatment, and postoperative care, suggesting that early recognition and intervention are key to preventing complications and ensuring optimal recovery.