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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.