Giant Groin Lipoma Deluding as Hernia: A Case Report

Abstract

Diagnosis of a soft tissue tumour in groin region is rather misleading owing to the fact of similarity in complaints of pain and swelling, especially in cases of irreducible groin hernias. Strategic selection of investigations and treatment option plays an enormous role in preoperative management of these patients. Authors present a case of a 36-year-old female with a previous history of two caesarean sections through Pfannenstiel incision with a soft tissue irreducible swelling in left inguinal region. Computed Tomography (CT) abdomen revealed a groin lipomatous lesion. Groin lipomas should be included in the differential diagnosis of irreducible groin swellings. A history of previous caesarean section in this patient prompted us to have a provisional diagnosis of incisional hernia. Meticulous planning of specific treatment strategy is essential for an effective outcome.

Keywords

• groin swellings
• inguinal hernia
• lipoma of round ligament