Large lipoma of the spermatic cord presenting as post-operative recurrent hernia in a middle aged gentleman: a case report

Ravindran Vashu,Manisekar Subramaniam

doi:10.4076/1757-1626-2-8500

Abstract

A gentleman who presented with a left inguinal hernia was operated and treated by hernioplasty. After a few years he presented with a clinical scenario of recurrent hernia. During surgery the lump was found to be a large lipoma that was not documented and found during the first operation.

Highlights

Lipoma of the cord is the most common benign tumour of the spermatic cord and a common condition of the male population [1]
Recurrent hernias are common but a giant lipoma may present in a similar manner and cause an incorrect diagnosis
Heller et al in his post mortem studies revealed that lipoma of the cord may be a common condition among the adult male population [5]

Summary

Introduction

Lipoma of the cord is the most common benign tumour of the spermatic cord and a common condition of the male population [1]. We are reporting a case of a large spermatic cord mimicking a recurrent hernia. Post-operatively, he was asymptomatic until 5 years ago when started developing painless recurrent inguinal mass of a similar nature. It was initially reducible and was ignored by patient. A large lipoma was seen arising from the inguinal cord (Figure 1). He was followed up in the clinic and post-operatively uneventful after discharge He was discharged to be followed up at the primary care and has been problem free for almost 2 years since surgery.

Discussion

Conclusion

Kaohsiung J