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Radiologic Anatomy of the Inguinofemoral Region: Insights from MDCT

P. T. Cherian1 and A. P. Parnell2

1 Liver Surgery Secretaries, Queen Elizabeth University Hospital, Nuffield House, 3rd Fl., Birmingham, United Kingdom, B15 2TH.
2 Department of Radiology, Good Hope Hospital, Sutton Coldfield, United Kingdom.


Figure 1
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  		Fig. 1 —Drawing shows inguinal region landmarks.

 

Figure 2
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  		Fig. 2 —Drawing shows femoral ring, canal, and triangle.

 

Figure 3
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  		Fig. 3 —58-year-old man. Axial CT scan shows pubic spurs (arrows) at insertion of pectineus muscle.

 

Figure 4
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  		Fig. 4 —74-year-old woman. Axial CT scan shows round ligament (large arrow) entering internal inguinal ring and inferior epigastric vessels (small arrow) defining medial aspect of internal inguinal ring. Fibroid, dilated small bowel and small amount of free peritoneal fluid are evident.

 

Figure 5
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  		Fig. 5 —37-year-old man. Coronal reconstruction CT scan shows conjoint tendon (arrowheads) as roof of inguinal canals.

 

Figure 6
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  		Fig. 6 —64-year-old man. Coronal reconstruction CT scan shows inguinal canal. Arrowheads indicate inguinal ligaments. Thin arrows indicate inferior epigastric vessels. Thick arrow indicates right testicular vessel passing along right inguinal canal.

 

Figure 7
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  		Fig. 7 —73-year-old man. Coronal reconstruction shows inguinal ligaments (arrowheads) on both sides.

 

Figure 8
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  		Fig. 8 —82-year-old woman. Coronal reconstruction CT scan shows inguinal ligaments (arrows) on both sides. Arrowhead indicates deep circumflex iliac artery, which crosses immediately below inguinal ligament.

 

Figure 9
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  		Fig. 9 —37-year-old man. Sagittal reconstruction CT scan shows inguinal ligament and canal. Large arrowhead indicates testicular vessels passing from psoas through transversalis fascia (small arrowheads) and into internal inguinal ring. Floor of ring is inguinal ligament (arrow).

 

Figure 10
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  		Fig. 10 —82-year-old woman. CT scan shows radiologic femoral canal (thick outline). Anatomic femoral space (i.e., canal) is part of this radiologic femoral triangle (thin outline).

 

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