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
Superficial circumflex iliac artery Superficial circumflex iliac artery The superficial iliac circumflex artery (or superficial circumflex iliac), the smallest of the cutaneous branches of the external iliac artery, arises close to the superficial epigastric artery, and, piercing the fascia lata, runs lateralward, parallel with the inguinal ligament, as far as the crest of the ilium. It divides into branches which supply the integument of the groin, the superficial fascia, and the superficial subinguinal lymph glands, anastomosing with the deep iliac circumflex, the superior gluteal and lateral femoral circumflex arteries. In 45% to 50% of persons the superficial circumflex iliac artery and superficial inferior epigastric