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Inguinal Region: Dissections

See also Plates 247, 249

External oblique Linea alba


muscle and
aponeurosis Rectus sheath
(anterior layer)
Anterior superior iliac spine
Transversalis
Internal oblique muscle fascia within
(cut and reflected) inguinal triangle
(site of direct
Transversus abdominis muscle inguinal hernia)
Deep inguinal ring Inguinal falx
(in transversalis fascia) (conjoint
tendon)
Cremaster muscle
(lateral origin) Reflected
inguinal
Inferior epigastric vessels ligament
(deep to transversalis fascia)
Intercrural
Inguinal ligament (Poupart’s) fibers
Lacunar ligament (Gimbernat’s) External
Cremaster muscle spermatic fascia
(medial origin) on spermatic
cord exiting
Superficial inguinal ring Superficial
Lateral crus inguinal ring
Medial crus
Fundiform
Pubic crest ligament of penis

Anterior view
Posterior (internal) view
Rectus sheath (posterior layer)

Arcuate line
Medial umbilical ligament
Anterior superior iliac spine
Transversalis fascia (cut away)
Rectus abdominis muscle
Iliopubic tract
Inferior epigastric vessels
Inguinal (Hesselbach’s) triangle (dashed line)
Femoral nerve
Genital branch of genitofemoral nerve
and testicular vessels
Deep inguinal ring
Iliacus muscle
External iliac vessels
Femoral ring (dilated) (broken line)
Psoas (major) muscle
Lacunar ligament (Gimbernat’s)
Pectineal ligament (Cooper’s)
Ductus (vas) deferens
Accessory obturator vessels
Obturator vessels
Pubic branches of inferior epigastric vessels
Pubic symphysis
Hesselbach’s triangle by Carlos Machado after Frank Netter

Plate 255  Body Wall