Fat in Inguinal Canal vs Hernia vs Cord Lipoma?

It’s primarily based on symptoms, history of a bulge, goal of the patient, physical exam and sometimes imaging. And it is not a one size fits all answer. So the answer to your question is that there is commonly fat in the canal, there is often groin discomfort, and sometimes the two are related and sometimes not. That relationship is often very difficult to sort out. The fat however is not dangerous in terms f risk as it would be if there were intestines in the hernia. Hope this helps!