A 75-year-old man with chronic bronchitis noticed that a bulge was developing in his left groin. On examination, an elongated swelling was seen above the medial end of the left inguinal ligament. When the patient coughed, the swelling enlarged but did not descend into the scrotum. The patient had weak abdominal muscles.
-The symptoms and signs displayed by this patient can be explained by the following statements except which?

Question

Quizplus · Accepted Answer

The conjoint tendon, formed by the fusion of the tendons of the internal oblique and transversus abdominis muscles, greatly strengthens the posterior wall of the inguinal canal. A weakness of the conjoint tendon and the lower abdominal musculature was responsible for the bulge, which constitutes a direct inguinal hernia.

A 75-Year-Old Man with Chronic Bronchitis Noticed That a Bulge