What is a Spermatic cord lipoma?
A lipoma of the cord is herniated fat that appears to originate from the retroperitoneal fat outside and posterior to the internal spermatic fascia and protrudes through the internal ring lateral to the cord. They are generally not visible by transperitoneal inspection unless manually reduced.
What is inguinal cord lipoma?
Lipomas of the cord (in men) and round ligament (in women) represent a simple protrusion (or herniation) of pedunculated extra-peritoneal fat through the inguinal canal. They are quite common and since their blood supply originates from the preperitoneal space, can be simply reduced without the need to be excised .
Are lipomas in the groin common?
Introduction. Groin lipoma is a rare condition. Such localization may lead to erroneous interpretation of inguinal hernia diagnosis. In case of incorrect diagnosis, there is clinically high risk for development of intraoperative complications.
What is Preperitoneal lipoma?
A preperitoneal lipomas is an uncommon soft tissue tumor and the giant ones are extremely rare. Although a rare cause of a painless abdominal swelling, a pre-peritoneal lipoma should be considered as a differential diagnosis in patients presenting with an unremarkable feature suggestive of an intra-abdominal pathology.
What causes lipoma of the spermatic cord?
Results: Spermatic cord lipoma seems to originate from preperitoneal fatty tissue within the internal spermatic fascia in topographical proximity to the arteries, veins, lymphatics, nerves, and deferent duct within the spermatic cord. Reliable diagnosis cannot be made clinically, but rather with ultrasound, CT, or MRI.
Can spermatic cord lipoma cause infertility?
Scrotal lipomatosis is a rarely seen disease with an etiology that is not fully understood. Some information suggests that this disease may be associated with infertility.
Why might a lipoma form in groin?
It is simply a growth of fat between the muscle layer and the skin above it. The exact cause is not known. The condition does run in families and is associated with other unusual syndromes such as adiposis dolorosa, which is similar. Lipomas most often appear after age 40.
How do you treat a spermatic cord lipoma?
If diagnosis reveals a giant (huge) pure lipoma, it can generally be easily resected using an open route (28–32). Only a spermatic cord lipoma without a real hernia sac was identified in open or laparo-endoscopic repair in up to 8% of clinically diagnosed inguinal hernias (4, 9, 10, 12).
Can a lipoma in the groin be painful?
Often asymptomatic, femoral lipoma may growth within the circumscribed space of the femoral fossa causing pain and discomfort. A worsening pain caused by a lipomatous mass in the femoral area is a clinical feature that can mislead the diagnosis, resembling the more common condition of femoral hernia.
Is lipoma benign or malignant?
A lipoma is a non cancerous (benign) lump that forms due to an overgrowth of fat cells. You can get a lipoma anywhere on the body where you have fat cells. Lipomas are not cancer. Cancerous tumours of the fat cells are called liposarcomas.