Inguinal hernia on computed tomography

Computed tomography (CT) scan shows a large hernia (arrowhead, A) medial to the pubic tubercle (arrow, A). In spite of the size of the hernia, there is no evidence for left femoral vein compression (dashed arrow, A), which helps to distinguish this inguinal hernia from a femoral hernia. The hernia is of sufficient volume to displace the base of the penis (short arrow, B). Fat (arrowhead, B) and small bowel (thick arrow, B) are present in the hernia sac. Artifact across the pelvis is caused by bilateral hip replacements.