Inguinal canal lipoma

Inguinal canal lipomas are a relatiely common but  often under-recognised finding on abdominopelvic CT. They are also referred to as spermatic cord or round ligament lipomas.

They have no communication with the peritoneal fat. They are not considered as true tumours of fat but as extrusions of extraperitoneal fat extending into the inguinal canal. 

Lipomas are usually asymptomatic but can sometimes cause pain and discomfort.

They are a benign entity and no treatment is usually required in incidental asymptomatic cases. Resection can be offerred patients who clinically symptomatic .

On imaging possible differential considerations include

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Article information

rID: 42991
Synonyms or Alternate Spellings:
  • Spermatic cord lipoma
  • Inguinal canal lipomas
  • Lipoma of inguinal canal

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