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A b s t r a c t Occurrence of pathological masses in the inguinal region, mimicking hernias, is an important surgical and radiological problem. Presence of a hernial sac is the determining factor. Herein, we present a case of irreducible femoral hernia with the greater omentum in its sac, interpreted as a preperitoneal lipoma in ultrasonography and computed tomography depictions. The patient underwent Rutkow tension-free hernioplasty with sac revision and dissection of the greater omentum.doi:10.5114/wiitm.2010.13605 fatcat:25fqlcbgorcthcxetflh6xz44i