Large lipomatosis of the inguinal cord that inguinoscrotal simulates hernia. Case presentation
Keywords:
lipoma/diagnosis; adipose dolorosa; spermatic cord; hernia; hernia, inguinalAbstract
Masses other than hernias may appear in the inguinal region, making it necessary to differentiate lipomas as a cause of paratesticular tumors. The objective of this study is to present an infrequent case of excessive lipomatosis of the inguinal cord mimicking a chronic incarcerated inguinoscrotal hernia.This is a 71-year-old male patient who consulted due to increased volume in the inguinoscrotal region. During the intraoperative period, a large, elongated fatty tumor measuring 30 cm was found, related to the structures of the cord, with no evidence of a hernial sac. It was dissected and sent for histopathological study, resulting in lipomatosis of the spermatic cord. The histogenesis of deep lipomatosis is poorly understood, nor is there sufficient literature addressing the topic, and although it can be present wherever adipose tissue exists, it is a challenge when it presents as a large inguinoscrotal tumor.
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