Anatomy · Abdomen (Peritoneum, Organs, Hernia, Inguinal Region)

In an indirect inguinal hernia in a male, the hernia sac passes through which opening to enter the inguinal canal?

  • A Superficial inguinal ring
  • B Femoral ring
  • C Hesselbach's triangle
  • D Deep inguinal ring
Correct answer: D. Deep inguinal ring

Explanation

An indirect inguinal hernia enters the inguinal canal through the deep (internal) inguinal ring, which is an opening in the transversalis fascia lateral to the inferior epigastric vessels. The hernia sac follows the course of the testicular descent and is covered by all three layers of the spermatic cord. A direct inguinal hernia bulges through Hesselbach's triangle medial to the inferior epigastric vessels, passing through the posterior wall of the inguinal canal.

Reference: BD Chaurasia's Human Anatomy, 8th ed.

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