Stephen Bird

I think you can certainly have an indirect inguinal hernia and a cord lipoma co-existing. But I am not sure about the cord lipoma passing in and out f the deep ring. The cord lipoma is by definition attached to the cord and hence can only move a very short distance. When you see a cord lipoma and ask the patient to strain they do move slightly within the canal, but not far. I think if the fat is passing through the deep ring into the canal and back again it is more likely a true indirect hernia rather than a cord lipoma.

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