case_images: PMC6563333_01
case_images: Showing Inferior epigastric artery traversing superficial course in posterior wall of inguinal canal, with two direct sacs, S1 & S2 seen on either side of IEA.
case_images: gr1.jpg
case_images: PMC6563333_01_gr1.jpg
case_images: fig0005
case_images: Inferior epigastric artery was traversing superficially on posterior wall, midway between the deep and superficial ring (mid point of inguinal canal) with visible pulsations present [Fig. 1]. A direct component of hernia was seen protruding, one lateral to IEA and another medial to IEA with no cross fluctuation present and each having individual cough expansibility and reducibility [S1 & S2, Fig. 1].
case_images: Showing indirect sacs, an unopened sac (A) and the two sacs (B & C) abutting each other with contents.
case_images: gr2.jpg
case_images: PMC6563333_01_gr2.jpg
case_images: fig0010
case_images: There was one bubonocele and two funicular type of indirect hernia present [Fig. 2].
case_images: Showing three adjacent indirect sacs adjacent to each other, one unopened sac (A), two indirect sacs (B & C).
case_images: gr3.jpg
case_images: PMC6563333_01_gr3.jpg
case_images: fig0015
case_images: Third sac with omentum as a content was mobilised from cord and was abutting posterior wall of second sac, Sac B [Fig. 3]. Transfixation with ligation of each sac was done individually and released back into the peritoneal cavity [Fig. 4].
case_images: Showing opened all indirect sacs, A, B and C.
case_images: gr4.jpg
case_images: PMC6563333_01_gr4.jpg
case_images: fig0020
case_images: Third sac with omentum as a content was mobilised from cord and was abutting posterior wall of second sac, Sac B [Fig. 3]. Transfixation with ligation of each sac was done individually and released back into the peritoneal cavity [Fig. 4].