Hernia

Question 1

Hernia

Answer 1

High risk of strangulation: femoral hernia

Passes lateral to the inferior epigastric artery: indirect inguinal hernia

Direct inguinal hernia Indirect inguinal hernia Femoral hernia
Anatomy Protrudes through Hesselback triangle
Passes medial to the inferior epigastric artery Protrudes through the inguinal ring
Passes lateral to the inferior epigastric artery Protrudes below the inguinal ligament, lateral to the pubic tubercle
Cause Defect or weakness in the transversalis fascia area of the Hesselbach triangle Failure of the processus vaginalis to close
Risk of strangulation Low risk of strangulation Low risk of strangulation High risk of strangulation
Age Seen in adults May occur in infants Seen in adults
Gender Much more common in males Much more common in males More common in females