Indirect inguinal hernia containing omentum in an adult male: a clinical image
Praveen Pawar, Archana Dhengere
Corresponding author: Archana Dhengere, Department of Medical Surgical Nursing, Smt. Radhikabai Meghe Memorial College of Nursing, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, India 
Received: 07 Oct 2025 - Accepted: 19 Oct 2025 - Published: 15 Jan 2026
Domain: Nursing education,Public Health Nursing
Keywords: Inguinal Hernia, omentum, elective hernioplasty
Funding: This work received no specific grant from any funding agency in the public, commercial, or non-profit sectors.
©Praveen Pawar et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Cite this article: Praveen Pawar et al. Indirect inguinal hernia containing omentum in an adult male: a clinical image. Pan African Medical Journal. 2026;53:16. [doi: 10.11604/pamj.2026.53.16.49666]
Available online at: https://www.panafrican-med-journal.com//content/article/53/16/full
Images in clinical medicine 
Indirect inguinal hernia containing omentum in an adult male: a clinical image
Indirect inguinal hernia containing omentum in an adult male: a clinical image
&Corresponding author
A 45-year-old male presented with a reducible swelling in the right inguinal region that increased on coughing and standing. On examination, a positive cough impulse was noted, and the swelling extended towards the scrotum, suggestive of an inguinal hernia. The patient was taken for elective hernioplasty. Intraoperatively, the hernia sac was identified lateral to the inferior epigastric vessels, consistent with an indirect inguinal hernia. The sac contained omentum, which was reduced, and a Lichtenstein tension-free mesh repair was performed. The postoperative period was uneventful.
Figure 1: intraoperative image showing hernia sac containing omentum in an indirect inguinal hernia; note the sac being held up after dissection from surrounding structures



