2019
DOI: 10.1016/j.ijscr.2019.05.035
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Double direct hernia, triple indirect hernia, double Pantaloon hernia (Jammu, Kashmir and Ladakh Hernia) with anomalous inferior epigastric artey: Case report

Abstract: 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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Cited by 8 publications
(9 citation statements)
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“…The DIEA of normal origin from external iliac was observed passing superficially on posterior wall midway between the superficial and deep inguinal rings. The anomalous DIEA was found separating the two direct types of hernia [15]. We have presented here bilateral presence of a loop of DIEA traversing more than half the length of inguinal canal before turning upwards.…”
Section: Discussionmentioning
confidence: 71%
“…The DIEA of normal origin from external iliac was observed passing superficially on posterior wall midway between the superficial and deep inguinal rings. The anomalous DIEA was found separating the two direct types of hernia [15]. We have presented here bilateral presence of a loop of DIEA traversing more than half the length of inguinal canal before turning upwards.…”
Section: Discussionmentioning
confidence: 71%
“…Sliding hernias are often observed. There may be both straight and oblique inguinal hernias, which in foreign literature is called "pantaloon hernia" [34].…”
Section: Inguinal Hernias Classificationmentioning
confidence: 99%
“…According to the principles of preferential use of certain abdominal wall tissues, all methods of hernia surgery can be divided into 5 main types [34]:…”
Section: Surgical Treatment Of Inguinal Herniasmentioning
confidence: 99%
“…1 2 Defective regulatory mechanism of hormones, peptides from the genitofemoral nerve and inadequate release of calcitonin gene-related peptide that have a role in testicular descent are some other causes attributed to the formation of aberrant hernia. 2 However, in most of the cases, one of the hernias may remain occult and commonly presents as an obvious direct inguinal hernia and a small indirect type that cannot be demonstrated clinically. 3 Diagnosis may be clinical or aided by ultrasonography, high-resolution CT and MRI in some cases.…”
Section: Descriptionmentioning
confidence: 99%