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The aim of this review paper is to present fat-containing lesions located in the inguinal canal based on both our own experience and literature. The first part of the paper describes the embryogenesis and differences in the structure and content of male and female inguinal canal.
4 lip 2024 · Inguinal hernias are the commonest type of abdominal wall hernias (up to 80% 3) and are most often acquired. There is a recognized male predilection with an M:F ratio of up to 7:1 3. Clinical presentation. Patients most commonly present with swelling and/or pain in the relevant groin, iliac fossa, loin.
Utilizing imaging modalities is crucial for differentiating between a retroperitoneal component and a fat-containing inguinal mass. Identification of non-lipomatous components within a fat-containing tumor provides diagnostic clues on radiological imaging.
On ultrasound, common findings include increased spermatic cord size with a distended IC, masslike aspect of the echogenic fat, and hyperemia during color Doppler evaluation, which does not change with Valsalva maneuver (figure 8) [1].
In older male patients, direct inguinal hernia with herniation of peritoneal fat is incidentally seen on abdominal and pelvic CT scans. US has been criticized for being operator-dependent, since a prompt diagnosis relies significantly on the examiner’s skill and experience.
picture of inguinal hernia was only due to the presence of retroperitoneal fat in the inguinal canal. The accumulated fat presented as structures varying in size, usually oblong, well delineated, homogeneous, slightly hypoechoic, plastic and with varying compliance to transducer compression (Fig. 5). A closer analysis of their echostructure ...
1 paź 2018 · A variety of fat-containing masses may be found in the abdomen and pelvis either incidentally or secondary to complications of their presence. Most fat-containing masses are benign though some are malignant or have malignant potential.