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Abstract Background: Transverse colon herniation into the inguinal canal is exceptionally rare. The transverse colon, being entirely intraperitoneal and suspended by the transverse mesocolon, is anatomically resistant to inferior displacement. Few cases of transverse colon herniation into inguinal or femoral hernias are documented, most occurring in the presence of giant hernia defects, malignancy, or concurrent omental herniation.
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