Lipomas in the inguinal region are relatively uncommon and are frequently misdiagnosed as inguinal hernias. This article reports the case of a 64-year-old male patient who presented with a giant lipoma in the right inguinal region, initially misdiagnosed as a right inguinal hernia. The diagnosis was confirmed through a series of diagnostic evaluations, including ultrasound, CT, and MRI imaging, followed by surgical intervention. A longitudinal incision was made, and the mass was carefully dissected and excised. The patient underwent successful surgery, and postoperative pathological examination confirmed the diagnosis of a giant lipoma. Post-surgery, the patient experienced an uneventful recovery and was discharged after five days, with no recurrence observed during a six-month follow-up. This case emphasizes the importance of considering lipomas in the differential diagnosis of inguinal masses and highlights the value of appropriate imaging and surgical management in achieving a favorable outcome. The case provides valuable insights for clinical diagnosis, surgical treatment, and postoperative care, suggesting that early recognition and intervention are key to preventing complications and ensuring optimal recovery.
Cao et al. (Sat,) studied this question.