A 35-year-old male presents with a reducible groin bulge that emerges medial to the inferior epigastric vessels through Hesselbach's triangle. What type of hernia is present?
Answer and explanation
Correct answer: C. Direct inguinal hernia
- Step 1: A direct inguinal hernia protrudes directly forward through a weakness in the transversalis fascia forming the floor of Hesselbach's triangle, situated medial to the inferior epigastric vessels.
- Step 2: Indirect hernias originate lateral to the inferior epigastric vessels through the deep inguinal ring.
Answer
Direct inguinal hernia.
Why not the others: 'Indirect inguinal hernia' passes through the deep inguinal ring lateral to the inferior epigastric vessels and travels within the spermatic cord; 'Femoral hernia' passes inferior to the inguinal ligament through the femoral canal; 'Obturator hernia' passes through the obturator canal.
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