13. Choice A is the correct answer. The fact that the hernia does not reduce makes it an incarcerated hernia. When hernias incarcerated they have reduced venous an lymphatic blood flow which leads to edema of the incarcerated tissue. This can progress to strangulation if left untreated. Indirect hernias travel through the inguinal ring where the spermatic cord travels in males and round ligament in females. Direct hernias protrude medial to the inferior epigastric vessels within Hesselbach's triangle.
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