Offensive:Racy: Very Likely Labels:text | screenshot OCR: Resident and Staff Physician Patient Education Chart Direct Inguinal Hernia * Most common in older males * Intestine passes only through external inguinal ring External inguinal ring Loop of bowel covered with peritoneum Reprinted with permission from Resident and Staff Physician (c) 1991-92, 1993 by Romaine Pierson Publishers, Inc.