Recurrent Inguinal Hernia vs. Malgaigne’s Bulge vs. Preperitoneal Lipoma regrowth

Here are my thoughts:

– preperitoneal fat through the inguinal canal is a hernia.
РMalgaign̩ refers to a bulging without defect or protrusion of contents
– inguinal hernias are best repaired if symptomatic of increasing in size.
– MRI pelvis may be misread or under diagnosed by the radiologist for a hernia recurrence, especially given the ultrasound finding.
– laparoscopic surgery would be my recommendation if recurrent hernia requires surgery.