A peculiar variety of indirect inguinal hernia (juxtacordal indirect inguinal hernia)

摘要

BackgroundIndirect inguinal hernias are usually congenital, forming a sac in the core of the spermatic cord covered by the internal spermatic, cremasteric, and external spermatic fasciae¹⁻³. Direct inguinal hernias are acquired; the sac lies beside/behind the cord¹⁻³. A rare third type is a combination of indirect and direct sacs on both sides of inferior epigastric vessels¹⁻³. We describe a rare fourth type, juxtacordal indirect oblique inguinal hernia (Fig. 1), in which the sac emerges through a weakness in the deep inguinal ring, lateral to inferior epigastric vessels, and passes into the inguinal canal beside and in contact with the cord but outside of its covering fasciae.