Inguinal Hernia Spermatic Cord
Bowel hernias may manifest as fluctuant soft palpable masses in the ic.
Inguinal hernia spermatic cord. Movement of the fat with the valsalva maneuver is more likely an indirect hernia. 20 years experience general surgery. Indirect hernias descend along the spermatic cord from deep to the superficial inguinal ring. Surgery to repair an indirect inguinal hernia is very simple.
Although many inguinal hernias do not involve a cord lipoma this type of lump is often found in inguinal hernia cases. Any symptoms of indirect inguinal hernia should be confirmed by a doctor but the more severe symptoms of this spermatic cord problem indicate an urgent need for medical attention. Lipomas are usually incidentally found reportedly seen in 22 of patients at hernia repair 45. On testicular ultrasound one could consider spermatic cord lipoma on the differential if an inguinal hernia contains only omental fat.
An inguinal hernia occurs when tissue such as part of the intestine protrudes through a weak spot in the. But the hernia will almost always have a lump or protrusion in the groin area where intra abdominal structures herniate thru the internal inguinal ri. The deep inguinal ring which is the beginning of the inguinal canal remains as an opening in the fascia transversalis which forms the fascial inner wall of the spermatic cord. Inguinal hernias may be classified depending on whether they are medial direct or lateral indirect to the inferior epigastric artery.
The surgeon repositions the affected section of intestine or fat in its proper location in the abdomen. Inguinal hernias occur when part of the membrane lining the abdominal cavity omentum or intestine protrudes through a weak spot in the abdomen often along the inguinal canal which carries the spermatic cord in men. Indirect inguinal hernias a type of groin herniation are the most common type of abdominal hernias. Inguinal hernias tend to occur in men in the spermatic cord area as this is an open channel which has the least strong muscular covering in the area.
Spermatic cord lipoma is the most common benign fatty mass of the inguinal canal and can cause hernia like symptoms without a true hernia.