The reported incidence of triple hernia seems to be sufficiently infrequent to warrant the reporting of a case in which a direct inguinal, an indirect inguinal, and a femoral hernia were found on the same side at the time of initial surgery.
In Christopher's Text Book of Surgery, in the chapter by McVay, it is stated that very occasionally a direct, indirect, and femoral hernia are seen on the same side, the so-called triple hernia. Graham (1954) reported a case of what he called a "triple" hernia, which was described as 2 direct hernial sacs and an indirect hernial sac on the same side, with a femoral hernia on the other side. He also mentions the report of 2 cases of hernia in which there was a double inguinal hernia consisting of 2 direct protrusions in the canal. Junkin (1933) reported a case in which there were an indirect inguinal
MITCHELL WE, WRIGHT JR. Triple HerniaA Case Report. Arch Surg. 1963;86(2):289-290. doi:10.1001/archsurg.1963.01310080113025