Internal and External Inguinal Hernias Coexisting with a Femoral Hernia-like Lesion in an Older Male—A Case Report—

Key Points

• To report a rare case of inguinal and femoral hernia-like lesions in an older male.
• Patient presented with right inguinal swelling for three months.
• Diagnosis confirmed via CT imaging, classifying the hernias according to new Japan Hernia Society standards.
• Laparoscopic surgery via Trans-Abdominal Pre-Peritoneal repair technique performed to address the hernias.
• Identified right internal inguinal hernia classified as M2.
• Found two hernia gates, measuring 2.5cm and 2.0cm, after internal observation.
• Discovered a femoral hernia-like lesion measuring 1.5cm during dissection, indicating coexistence of multiple hernia types.