Loss of tone in the musculature in the inguinal region predisposes to progressive stretching of the parietal peritoneum into the posterior inguinal canal with repeated increased intraabdominal pressure associated with the lifting activity.

If the patient were a young man or child, an indirect or congenital inguinal hernia would be a more likely diagnosis. With an indirect hernia, the parietal peritoneum at the deep inguinal ring exists as a fingerlike protrusion into the inguinal canal. This is the result of faulty closure of the embryonic outpouching of peritoneum into the scrotum, called the process vaginalis. Indirect inguinal hernias enter the deep inguinal ring, stretch peritoneal tissue with repeated increases in intraabdominal pressure, traverse the length of the inguinal canal, and enter the scrotum.

Surgical repair of the tissue defect is indicated to prevent incarceration, infarction, and necrosis of the herniated tissue, typically a loop of small intestine.

direct or acquired inguinal hernia.

Loss of tone in the musculature in the inguinal region predisposes to progressive stretching of the parietal peritoneum into the posterior inguinal canal with repeated increased intraabdominal pressure associated with the lifting activity. If the patient were a young man or child, an indirect or congenital inguinal hernia would be a more likely diagnosis. With an indirect hernia, the parietal peritoneum at the deep inguinal ring exists as a fingerlike protrusion into the inguinal canal. This is the result of faulty closure of the embryonic outpouching of peritoneum into the scrotum, called the process vaginalis. Indirect inguinal hernias enter the deep inguinal ring, stretch peritoneal tissue with repeated increases in intraabdominal pressure, traverse the length of the inguinal canal, and enter the scrotum. Surgical repair of the tissue defect is indicated to prevent incarceration, infarction, and necrosis of the herniated tissue, typically a loop of small intestine.