Certified Surgical Technologist (CST) Practice Exam

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What type of hernia involves a direct and indirect inguinal hernia?

Reducible
Umbilical
Epigastric
Pantaloon

The correct answer is: Pantaloon

The type of hernia that involves both a direct and an indirect inguinal hernia is known as a pantaloon hernia. This condition occurs when there are two protrusions of tissue through the inguinal canal—one that is direct (through the posterior wall of the inguinal canal) and one that is indirect (through the internal ring). The term "pantaloon" is derived from the appearance of the two hernial sacs resembling a pair of trousers. In contrast, reducible hernias can be pushed back into the abdomen, while umbilical hernias occur at the belly button and are unrelated to the inguinal canal. Epigastric hernias occur in the upper abdomen and don't involve the structures associated with the inguinal canal. Therefore, the pantaloon hernia is unique in that it specifically encompasses both types of inguinal hernias.