An unexpected finding during an inguinal herniorrhaphy: report of an indirect hernia with two hernia sacs

Jones, R. Watson; Livaditis, Ioannis G.; Almond, P. S.

doi:10.1016/j.epsc.2013.09.002

Cited by 4 publications

(2 citation statements)

References 10 publications

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“…Two sacs in unilateral indirect hernia is till date reported in one case only, that too reported in a pediatric case [14]. This case was unique, three indirect type hernia on unilateral side were present, all opening individually with variability in contents of each sac.…”

Section: Discussionmentioning

confidence: 84%

Double direct hernia, triple indirect hernia, double Pantaloon hernia (Jammu, Kashmir and Ladakh Hernia) with anomalous inferior epigastric artey: Case report

Wani¹

2019

International Journal of Surgery Case Reports

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Highlights First kind of case report in literature. A unique case with double direct and triple indirect type of inguinal hernia. Named as Jammu Kashmir and Ladakh Hernia. Inferior epigastric artery may traverse an anomalous course in inguinal canal. Presence of multiple hernia sacs ,if undetected, is risk for recurrence.

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Section: Discussionmentioning

confidence: 84%

Double direct hernia, triple indirect hernia, double Pantaloon hernia (Jammu, Kashmir and Ladakh Hernia) with anomalous inferior epigastric artey: Case report

Wani¹

2019

International Journal of Surgery Case Reports

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“…of both the defects. 5 Both open and laparoscopic methods can be used depending on the individual case type and the patient. Non-mesh repairs are not recommended due to lesser evidence and more chances of recurrence.…”

Section: Images In…mentioning

confidence: 99%

Triple inguinal hernia: rare clinical presentation

et al. 2020

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Two Indirect Sacs in a Unilateral Inguinal Hernia, an Unusual Occurancecase Report.

Lalithkumar

Swaminathan

Mani

et al. 2022

PIJR

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The exact type of inguinal hernia is usually made during its repair.Multiple direct or multiple indirect sacs in a unilateral inguinal hernia is extremely rare. A 30-year-old male presented with right groin swelling for six months. He was diagnosed to have right indirect inguinal hernia on clinical examination.On exploring the inguinal canal during hernial repair,two indirect sacs were found adjacent to each other,lying antero-lateral to the cord structures.Inferior epigastric artery was identified and no other direct component was found in the patient.Individual ligation of the indirect sacs was done,followed by Lichtenstein repair.This is a very rare entity,one of its kind,with only one other such case reported in India- the famous ‘Jammu Kashmir and Ladakh hernia’,a double direct,triple indirect sac in a unilateral inguinal hernia. Double indirect sac in a unilateral hernia is unique. Presence of multiple hernial sacs in inguinal hernia is a risk for recurrence, if not identified. Proper identification of inferior epigastric artery course is always essential in inguinal hernia repair.

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An unexpected finding during an inguinal herniorrhaphy: report of an indirect hernia with two hernia sacs

Cited by 4 publications

References 10 publications

Double direct hernia, triple indirect hernia, double Pantaloon hernia (Jammu, Kashmir and Ladakh Hernia) with anomalous inferior epigastric artey: Case report

Double direct hernia, triple indirect hernia, double Pantaloon hernia (Jammu, Kashmir and Ladakh Hernia) with anomalous inferior epigastric artey: Case report

Triple inguinal hernia: rare clinical presentation

Two Indirect Sacs in a Unilateral Inguinal Hernia, an Unusual Occurancecase Report.

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