MRCEM Notes

Groin hernias: comparision

Direct inguinal herniaIndirect inguinal herniaFemoral hernia
AnatomyProtrudes through Hesselbach's (inguinal) 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
CauseDefect or weakness in the transversalis fascia area of the Hesselbach triangleFailure of the processus vaginalis to close
Risk of strangulationLow risk of strangulationLow risk of strangulationHigh risk of strangulation
AgeSeen in adultsMay occur in infantsSeen in adults
GenderMuch more common in malesMuch more common in malesMore common in females

Comparison of direct and indirect inguinal hernia

Comparison of femoral and indirect inguinal hernia
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