Conjoint tendon A weakening of the conjoint tendon can precipitate a direct inguinal hernia. A direct inguinal hernia will protrude through Hesselbach's triangle, whose borders are the rectus abdominis (medially), inferior epigastric artery and vein (superolaterally), and the inguinal ligament (inferiorly). The hernia will lie medial to the inferior epigastric artery. This is in contrast to an indirect inguinal hernia, which will protrude laterally to the inferior epigastric artery and is most commonly due to an embryological defect in the closure of the deep inguinal ring. Conjoint tendon The conjoint tendon (previously known as the inguinal aponeurotic falx) is a structure formed
Deep circumflex iliac artery Deep circumflex iliac artery The deep circumflex iliac artery (or deep iliac circumflex artery) is an artery in the pelvis that travels along the iliac crest of the pelvic bone. The deep circumflex iliac artery arises from the lateral aspect of the external iliac artery nearly opposite the origin of the inferior epigastric artery. It ascends obliquely and laterally, posterior to the inguinal ligament, contained in a fibrous sheath formed by the junction of the transversalis fascia and iliac fascia. It travels to the anterior superior iliac spine, where it anastomoses with the ascending branch of the lateral femoral circumflex