Pantaloon hernia

Last revised by Dr Daniel J Bell on 25 Dec 2020

A pantaloon hernia (dual herniaRomberg hernia or saddle bag hernia) is defined as ipsilateral, concurrent direct and indirect inguinal hernias (alternative plural: herniae). Hernial sacs are present on both sides of the inferior epigastric vessels, and separated by the posterior wall of the inguinal canal brought down by the direct hernia.

Clinical presentation

Complications

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Cases and figures

  • Case 1: CT
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  • Case 2: ultrasound
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  • Case 3
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  • Case 4: bilateral with small bowel obstruction
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