Skip to main content
Log in

Inguinal cord lipomas

  • Original Article
  • Published:
Hernia Aims and scope Submit manuscript


Fatty tissue within the internal cremasteric fascia is frequently encountered during hernia surgery, and it is called a cord lipoma in the surgical literature. Between 1997 and 2001, 128 consecutive patients with 139 indirect inguinal hernias, who underwent open repair, were evaluated. A total of 100 lipomas of the spermatic cord or round ligament were identified and resected in 92 patients. There were no reported neoplastic changes noted in histopathologic examinations of the specimens. The incidence of cord lipoma associated with indirect inguinal hernia was 72.5%. Average body mass index (BMI) was 25.7 in patients with lipoma and 24.6 in patients without lipoma (P=0.048). The incidence of cord lipoma in large hernias (Nyhus Type II and IIIb) was higher in our patients (P<0.005). It can be clearly seen during laparoscopic exploration of the preperitoneal space that cord lipoma is a continuation of extraperitoneal fat tissue. We believe that even if there is no peritoneal sac, the herniation of extraperitoneal fat through the inguinal canal should be counted as an inguinal hernia, and it requires treatment.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others


  1. Nyhus LM (1993) Individualization of hernia repair: a new era. Surgery 114:1–2

    PubMed  Google Scholar 

  2. Heller CA, Marucci DD, Dunn T, Barr EM, Houang M, Remedios CD (2002) Inguinal canal lipoma. Clin Anat 15:280–285

    Article  PubMed  Google Scholar 

  3. Lilly MC, Arregui ME (2002) Lipomas of the cord and round ligament. Ann Surg 235:586–590

    Article  PubMed  Google Scholar 

  4. Fawcett AN, Rooney PS (1997) Inguinal cord lipoma. Br J Surg 84:1169

    Article  CAS  PubMed  Google Scholar 

  5. McDonnell CO, Walsh TN (2000) A hernia sac cannot be found at operation. Br J Surg 87:521–2

    CAS  Google Scholar 

  6. Condon RE (1995) The anatomy of the inguinal region and its relation to groin hernia. In: Nyhus LM, Condon RE (eds) Hernia. JB Lippincott Company Philadelphia pp 16–72

  7. Rosenberg N (1979) “Lipoma” of the spermatic cord: Potential relationship to indirect inguinal hernia in adults. Arch Surg 114:549–550

    CAS  Google Scholar 

  8. Russell RH (1906) The saccular theory of hernia and the radical operation. Lancet 2:1197–1203

    Article  Google Scholar 

  9. Read RC, Schafer RF (2000) Lipoma of the spermatic cord, fatty herniation, liposarcoma. Hernia 4:149–154

    Google Scholar 

Download references

Author information

Authors and Affiliations


Corresponding author

Correspondence to S. Carilli.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Carilli, S., Alper, A. & Emre, A. Inguinal cord lipomas. Hernia 8, 252–254 (2004).

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: