Inguinal hernia sectional imaging with CT or MRI, the major differential in diagnosing indirect inguinal hernias is differentiation from spermatic cord lipomas, as both can contain only fat and extend along the inguinal canal into the scrotum. On axial CT, lipomas originate posterolateral to the cord, and are located inside the cremaster muscle, while inguinal hernias lie anteromedial to the cord and are not intramuscular. Large lipomas may appear nearly indistinguishable as the fat engulfs anatomic boundaries, but they do not change position with coughing or straining. Differential diagnosis of the symptoms of inguinal hernia mainly includes the following potential conditions: There
Ans Wortel Ans Wortel Ans (Anna Maria) Wortel (18 October 1929, in Alkmaar, Netherlands4 December 1996, in Hilvarenbeek, Netherlands) was a Dutch painter, poet and writer. She made gouaches and oil paintings, aquarelles, drawings, collages, lithographs, etchings, sculptures and glass sculptures. She was an autodidact and won the first prize at the biennale of Paris in 1963. She was one of the leading female artists of postwar Dutch modern art. Wortel’s work is strongly autobiographical. Her experiences as a girl, woman, mother and as an artist were the main source of her inspiration. Common themes are human emotions, love, relationships, mother/child relations