29th September 2021

A 62-year-old man presents with a lump which “comes and goes” when he lies down and stands up

A 62-year-old man presents with a lump which “comes and goes” when he lies down and stands up. You elicit the lump by asking him to cough. He is not in pain, and there is no erythema or swelling. You reduce the hernia and palpate over the deep inguinal ring, however, the hernia reappears. He feels fine in himself but is self-conscious of the way it looks and sometimes feels it pressing against his trousers’ waistband. He has recently moved into a new house and says it involved plenty of heavy lifting. Which of the following types of abdominal hernia is this patient most likely to have?

Select the SINGLE most appropriate option from the list below. Select ONE option only.