Indirect inguinal hernia
Difficulty with micturition.
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Multiple small bowel loops in scrotum due to right indirect inguinal hernia. Compression of penile urethra.
Pathology: 75-80% hernias occur in inguinal region. Indirect five times commoner than direct. Contents may include small bowel loops, mobile colon segments (sigmoid, caecum, appendix), mesenteric fat. Complications: incarceration; strangulation; intestinal obstruction.
Image courtesy of: Dr Marina-Portia Anthony, Dr Dharmesh Modi