Fat content origin from deep inguinal ring

[Huiying Liu]

Hi Stephen,

I once scanned a female patient. There is fat content in inguinal canal, originating from deep inguinal ring. It’s non reducible and not move with strain or Valsava. Should I call it hernia or lipoma？

Hayley

[Stephen Bird]

It could be potentially either.
If the fat has a beginning and end point (so it looks like an island of fat in the canal) and it does nor increase in size during straining and it is not reducible I would call it a lipoma. If it is a true non reducible indirect hernia I would expect it not to have an end point and also I would expect it to increase in size during straining.

Steve

[Author]

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