Presentation
Progressive scrotal swelling over few years.
Patient Data
An oval-shaped mass lesion expanding the left scrotal sac, extending to the left inguinal canal, and has an apparent connection with the intraperitoneal fat, and effaced the spermatic cord. It demonstrated homogenous hyperintensity on T1 and T2WI, fully suppresses on fat saturation sequences and showed no significant post-contrast enhancement. No associated bowel loop within the sac.
Case Discussion
Fat containing inguino scrotal hernia is not common as an isolated entity. It can be mistaken to inguinal canal or spermatic cord lipoma. The two entity can be differentiated by identifying a connection between the herniated inguino scrotal fat and an intraperitoneal fat and their relationship to the spermatic cord, as in this case.
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