Indirect Inguinal Hernia in an Elderly Male, an Incidental Observation During Routine Cadaveric Dissection

Introduction: during the routine dissection procedure of anterior abdominal wall in a 75 years male cadaver, an inguino-scrotal swelling was observed. The anterior wall of the inguinal canal was dissected by reflecting, external oblique aponeurosis and internal oblique muscle. As soon as anterior wall of inguinal canal was reflected intestinal loop along with transverse mesocolon was seen inside the canal and loop was extending till the scrotum. Length of the loop was 5.5cm and transverse mesocolon was 13cm in length. The dissection was further continued to explore the deep inguinal ring. Deep inguinal ring was identified 1.5cm above the mid-inguinal point. Inferior epigastric artery was located medial to the deep inguinal ring. Here hernia sac was entering through the deep inguinal ring which confirmed the diagnosis. These observations were suggestive of indirect inguinal hernia. This is a rare observation of indirect inguinal hernia in an elderly individual. Usually direct inguinal hernia is observed in elderly individuals.