Missed Lipoma of the Spermatic Cord

Yener, Oktay; Demir, Mustafa Kemal; Yiğitbaşı, Rafet; Yılmaz, Ahmet

doi:10.14712/23362936.2014.32

Cited by 5 publications

(7 citation statements)

References 9 publications

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“…The prevalence of round ligament lipoma at 1.4–36% ( 1 , 12 , 13 ) is markedly lower. The round ligament is a band of connective tissue that supports the uterus and is accompanied by feeding vessels.…”

Section: Discussionmentioning

confidence: 92%

“…Lau et al ( 12 ) identified that only in 12.5% of female inguinal hernia repairs. Without evidence of an additional hernia sac, Yener et al ( 13 ) reported only 1.4% round ligament lipomas in female inguinal hernia repairs.…”

Section: Methodsmentioning

confidence: 99%

“…Lau et al ( 12 ) found a spermatic cord lipoma without a hernia sac only in 6 of 610 (1%) inguinal hernia repairs in TEP technique. Yener et al ( 13 ) reported 22 spermatic cord lipomas without a hernia sac in 768 (2.9%) patients with indirect inguinal hernia.…”

Section: Methodsmentioning

confidence: 99%

“…Even those spermatic cord lipomas without an additional indirect hernia sac can cause the typical inguinal hernia symptoms with bulging and pain ( 1 , 10 , 13 ). They should therefore be viewed and treated like “true” inguinal hernias ( 1 , 10 , 13 ).…”

Section: Methodsmentioning

confidence: 99%

“…In general, preoperative clinical examination does not facilitate identification of the presence of a spermatic cord lipoma. Even without a hernia sac, spermatic cord lipomas may give rise to the clinical manifestations and symptoms seen in an inguinal hernia with a hernia sac ( 1 , 10 , 13 ). This should always be clinically suspected when patients report inguinal pain in the absence of inguinal protrusion ( 1 ).…”

Section: Methodsmentioning

confidence: 99%

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Spermatic Cord Lipoma—A Review of the Literature

Köckerling

Schug-Paß

2020

Front. Surg.

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Introduction: A spermatic cord lipoma is found in 20-70% of all inguinal hernia repairs. The clinical picture of an inguinal hernia with bulging and pain but without an actual indirect hernia sac may become manifest in up to 8% of these cases. Missed spermatic cord lipoma can result in recurrence or pseudo-recurrence. This review presents the relevant literature on this topic. Materials and Methods: A systematic search of the available literature was performed in February 2020 using Medline, PubMed, Google Scholar, Scopus, Embase, Springer Link, and the Cochrane Library, as well as a search of relevant journals and reference lists. Forty-two publications were identified as relevant for this topic. 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. In the absence of a real hernia sac, a spermatic cord lipoma is classified as a lateral inguinal hernia with a defect size <1.5 cm according to the European Hernia Society (EHS LI). Missed or inadequately treated spermatic cord lipoma results in recurrence or pseudo-recurrence. Since spermatic cord lipoma obtains its vascular supply from the preperitoneal space, it can be reduced or resected. Conclusion: Spermatic cord lipoma is a common finding in inguinal hernia repairs and must be properly diagnosed and treated with care respecting the anatomy of the spermatic cord.

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Section: Discussionmentioning

confidence: 92%

Section: Methodsmentioning

confidence: 99%