Indirect inguinal hernia containing portosystemic shunt vessel: A case report

Figure 3 Photograph taken during surgery. A: The expanded (2-cm-diameter) shunt vessel existing in the extraperitoneal cavity entered the inguinal canal through the internal inguinal ring. An indirect hernia sac and two short branches connecting the shunt vessel and the testicular vein were identified; B: Shunt vessel after cutting short branches. Triangle: Shunt vessel; Double triangles: Indirect hernia sac; Triple triangles: Vas deferens and testicular artery and vein; Arrow: Two short branches between the shunt vessel and testicular vein; Double arrows: Extraperitoneal fat; Stars: Cut-off stumps of ligated short branches.