A hernial sac is found straddling the inferior epigastric vessels, with components both medial and lateral to them. This combined direct and indirect hernia is known as:

• A Giant inguinoscrotal hernia
• B Sliding hernia
• C Interparietal hernia
• D Pantaloon hernia ✓

Explanation

D pantaloon, or saddlebag, hernia consists of two sacs arising from either side of the inferior epigastric vessels, resembling trouser legs. It matters surgically because repairing one sac while missing the other leads to early recurrence; the surgeon must always check the other side of the vessels. D sliding hernia contains a viscus in its wall, an interparietal hernia lies between layers of the abdominal wall, and giant hernias are defined by loss of domain rather than sac position.

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.