At operation for a right groin hernia, two separate sacs are found, one arising lateral to the inferior epigastric vessels and the other medial to them, connected across these vessels. This configuration is called:

• A Pantaloon hernia ✓
• B Cooper's hernia
• C Sliding hernia
• D Giant inguinoscrotal hernia

Explanation

B pantaloon or saddlebag hernia consists of both a direct and an indirect sac straddling the inferior epigastric vessels like the legs of a pair of trousers. It is important during laparoscopic repair because treating only one sac leaves the other unrepaired and causes early recurrence. Cooper's hernia refers to a femoral hernia with two sacs, one peritoneal and one preperitoneal, which is a different entity entirely.

Reference: Bailey and Love's Short Practice of Surgery, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.