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INTRODUCTION A hernia occurs when the contents of a body cavity bulge out of the area where they are normally contained. These contents, usually portions of intestine or abdominal fatty tissue, are enclosed in the thin membrane that naturally lines the inside of the cavity. Hernias by themselves may be asymptomatic (produce no symptoms) or cause slight to severe pain. Nearly all have a potential risk of having their blood supply cut off (becoming strangulated). When the content of the hernia bulges out, the opening it bulges out through can apply enough pressure that blood vessels in the hernia are constricted and therefore the blood supply is cut off. If the blood supply is cut off at the hernia opening in the abdominal wall, it becomes a medical and surgical emergency as the tissue needs oxygen, which is transported by the blood supply Different types of abdominal wall hernias include the following : Inguinal (groin) hernia: Making up 75% of all abdominal wall hernias and occurring up to 25 times more often in men than women, these hernias are divided into two different types, direct and indirect. Indirect inguinal hernia is a hernia follows the pathway that the testicles made during fetal development, descending from the abdomen into the scrotum. This pathway normally closes before birth but may remain a possible site for a hernia in later life. Sometimes the hernia sac may protrude into the scrotum. An indirect inguinal hernia may occur i

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INTRODUCTIONA hernia occurs when the contents of a body cavity bulge out of the area where they arenormally contained. These contents, usually portions of intestine or abdominal fatty tissue, areenclosed in the thin membrane that naturally lines the inside of the cavity. Hernias by themselvesmay be asymptomatic (produce no symptoms) or cause slight to severe pain. Nearly all have apotential risk of having their blood supply cut off (becoming strangulated). hen the content ofthe hernia bulges out, the opening it bulges out through can apply enough pressure that bloodvessels in the hernia are constricted and therefore the blood supply is cut off. !f the blood supplyis cut off at theherniaopeningintheabdominal wall, it becomes amedical andsurgicalemergency as the tissue needs o"ygen, which is transported by the blood supply#ifferent types of abdominal wall hernias include the following$!nguinal (groin)hernia$ %aking up &'( of all abdominal wall hernias and occurring up to )' times more often inmen than women, these hernias are divided into two different types, direct and indirect. !ndirectinguinal hernia is a hernia follows the pathway that the testicles made during fetal development,descending from the abdomen into the scrotum. This pathway normally closes before birth butmay remain a possible site for a hernia in later life. *ometimes the hernia sac may protrude intothe scrotum. An indirect inguinal hernia may occur at any age. #irect inguinal hernia is a herniaoccurs slightly to the inside of the site of the indirect hernia, in an area where the abdominal wallis naturally slightly thinner. !t rarely will protrude into the scrotum. +nlike the indirect hernia,whichcanoccurat anyage, thedirect herniatendstooccurinthemiddle,agedandelderlybecause their abdominal walls weaken as they age.This case report is about %r.*, '& years old, with the chief complain is feeling a lumpwhich has been developed since - months ago in his right groin. There is no pain, tenderness, orredness on the lump. The si.e of the lump /ust got bigger from marble si.e to a golf ball si.e.Now, the lump cannot be reduced or repaired back to its position. The patient decides to seek amedical treatment and further isnvestigation.iCONTENTS!ntroduction000000000000000000000000000000 !1ase report0000000000000000000000000000002,221ase discussion 0000000000000000000000000000 2)#isease 3eview0000000000000000000000000000. 24, 4'3eferences000000000000000000000000000000. 45ii