Sliding hernias have no distinguishing feature from other inguinal hernias but should be suspected in any large hernia that cannot be reduced or whenever a large scrotal sac is seen in an elderly man. The finding of a segment of colon in the scrotum on barium enema is highly indicative. It is important to recognise this condition at operation since failure to do so may result in inadvertent incision of the lumen of the bowel or bladder.
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