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A pantaloon hernia, also known as a saddlebag hernia, is a type of inguinal hernia where both direct and indirect hernias occur on the same side. The hernia sacs are separated by the inferior epigastric vessels, giving the appearance of "pants," which is why it's called a pantaloon hernia2. Key Features: Location: Occurs in the inguinal region. Appearance: Resembles "pants" due to the division by epigastric vessels. Other Names: Also referred to as Romberg's hernia or dual hernia. Symptoms: Localized pain or discomfort in the groin. Swelling that may become irreducible over time. Potential complications like bowel obstruction or strangulation. Diagnosis: Imaging techniques such as CT scans or ultrasounds are commonly used. Treatment: Surgical repair is the standard treatment, often involving techniques to address both hernia sacs. #Pantaloon