J Korean Assoc Pediatr Surg.  2013 Dec;19(2):145-149. 10.13029/jkaps.2013.19.2.145.

Hemorrhagic Complication of Protruding Preperitoneal Fat Presenting as an Incarcerated Inguinal Hernia in a Patient with Clinically Occult Inguinal Hernia

Affiliations
  • 1Department of Pediatric Surgery, Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea. choi1635@dsmc.or.kr

Abstract

No abstract available.

Keyword

Lipoma; Inguinal hernia; Incacerated; Preperitoneal fat; Hemorrhage; Pediatric

MeSH Terms

Hemorrhage
Hernia, Inguinal*
Humans
Lipoma

Figure

  • Fig. 1 Ultrasonography showed omental fat containing hernia sac.

  • Fig. 2 Intraoperative findings showing a bulbous hemorrhagic fat mass on the anterolateral portion of the spermatic cord structure and a transparent thin hernia sac in anteromedial position of the cord without containing structure (A). The fat lobule showed obviously normal in color at the level of internal ring (B).

  • Fig. 3 Microscopic findings showing hemorrhage of lipoma (H & E).


Reference

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3. Lilly MC, Arregui ME. Lipomas of the cord and round ligament. Ann Surg. 2002; 235:586–590.
4. Kovalivker M, Lazar L, Erez I, Motovic A. The value of protruding extraperitoneal fat in predicting contralateral inguinal hernia. Pediatr Surg Int. 1993; 8:38–40.
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7. Garvey JF. Computed tomography scan diagnosis of occult groin hernia. Hernia. 2012; 16:307–314.
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