Direct lateral inguinal hernia: An atypical cause of groin hernia

We present the case of a direct inguinal hernia located at the lateral aspect of the inguinal orifice. This hernia protruded through the posterior wall of the inguinal canal; the (pseudo-)hernia sac was lateral to the inferior epigastric vessels, but medial to the spermatic vessels, and its tip could eventually bulge through the external inguinal ring. Deploying a large prosthetic mesh via the laparoscopic approach can prevent the risk of recurrence in the case of multiple and atypical orifices.