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Fig. 3 —55-year-old man with clinically diagnosed right groin hernia. Sonography cranial and parallel to inguinal ligament revealed indirect inguinal hernia adjacent to appendectomy scar (not shown). Preoperative diagnosis modified surgical approach. Sonogram after Valsalva maneuver shows hernia (H) and inferior epigastric artery (arrow). Right side of image is medial side of structures on sonogram.