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OCR: Resident and Staff Physician Patient Education Chart Indirect Inguinal Hernia * Most common in young males * Through internal and external inguinal rings Intestine in path of inguinal canal Spermatic cord Loop of intestine covered with peritoneum Epididymis Small intestine Pelvis (anterior superior ilac spine) Inguinal ligament Internal inguinal ring Inguinal canal Vas Deferens External inguinal ring Femoral artery and vein llioinguinal nerve Testes Reprinted with permission from Resident and Staff Physician (c) 1991-92, 1993 by Romaine Pierson Publishers, Inc.