Inguinal canal lipoma

Dr Henry Knipe and Dr Yuranga Weerakkody et al.

Inguinal canal lipomas, also known as spermatic cord or round ligament lipomas,  are a relatively common but often under-recognised finding on imaging.

Lipomas are usually asymptomatic but can sometimes cause pain and discomfort. They can present as a mass lesion. 

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. 

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

On imaging, possible differential considerations include:

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Article information

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

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