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KMID : 1033020170070010007
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Journal of Hemiology: Diagnosis and Treatment of Hernias
2017 Volume.7 No. 1 p.7 ~ p.10
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True Spermatic Cord Lipoma Presenting as a Recurrent Inguinal Mass after Inguinal Hernia Repair: A Case Report
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Park Jin-Woo
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Abstract
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True spermatic cord lipoma is rare and has a challenging diagnosis; it is often misdiagnosed as an inguinal hernia. Here we report the case of a 60-year-old male patient for whom complete excision of true spermatic cord lipoma, mimicking recurrent inguinal hernia, was performed. The patient had undergone left inguinal hernia repair 6 years ago. At that time, minimal hernia protrusion was identified with a considerable amount of fatty tissue around the spermatic cord. A tension-free hernioplasty using mesh was performed, and most of the fatty tissue around the spermatic cord was removed. Four and half years after the operation, the patient felt a palpable, non-reducible mass in the left inguinal area. The mass was enlarged during observation. Second operation was performed to excise a 10×20-cm sized true spermatic cord lipoma. The patient was discharged uneventfully. True spermatic cord lipoma should be considered in cases of unusual inguinal mass mimicking hernia.
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KEYWORD
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Inguinal hernia, Spermatic cord, Lipoma, Recurrent inguinal hernia
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