SlideShare a Scribd company logo
1 of 9
INGUINAL REGION
GROUP D9/26/2014
1
Contents
I. CaseScenario
II. Development
III. Anatomy
IV. Statistics
V. Conclusion
2
Development of Inguinal Canal
• Formationof Processus
vaginalis
• Descent of Testes in males to
scrotum
• Descent of Ovaries infemales
to pelvic cavity
• ObliterationofProcessus
vaginalis
3
Inguinal Region Anatomy
4
Male Inguinal Canal
5
1) Spermatic cord
• Coverings: internal and external
spermatic fascia and cremasteric
fascia
• Constituents: ductus deferens,
testicular artery, arteryof ductus
deferens, cremasteric artery,
pampiniform plexus (ofveins) and
innervation (for ductus, arteries and
cremaster)
2)Ilioinguinal nerve
Female Inguinal Canal
6
1) Roundligament (of uterus)
2) Remnantof gubernaculum
3) Ilioinguinalnerve
Predispositon of genders
7
Total Inguinal Hernia Cases
8
Conclusion
Males more susceptible to develope inguinal
hernia because of the increased weakness of
inguinal canal due to the greater number of
structures passing through it as
embryologicallyderived.
9

More Related Content

What's hot

Left ventricular enlargement radiology
Left ventricular enlargement radiologyLeft ventricular enlargement radiology
Left ventricular enlargement radiologyHaneen Hassan
 
Chest X-ray: The Basics
Chest X-ray: The BasicsChest X-ray: The Basics
Chest X-ray: The BasicsAbhineet Dey
 
Varicose vein ppt (thu)
Varicose vein ppt (thu)Varicose vein ppt (thu)
Varicose vein ppt (thu)Milind Patil
 
Anal fissure & fistula in ano PPT By Dr Anil Kumar, Assistant Professor, AIIM...
Anal fissure & fistula in ano PPT By Dr Anil Kumar, Assistant Professor, AIIM...Anal fissure & fistula in ano PPT By Dr Anil Kumar, Assistant Professor, AIIM...
Anal fissure & fistula in ano PPT By Dr Anil Kumar, Assistant Professor, AIIM...Anil Kumar
 
Imaging of Pulmonary Embolism
Imaging of Pulmonary Embolism  Imaging of Pulmonary Embolism
Imaging of Pulmonary Embolism Gamal Agmy
 
Femoral triangle & inguinal lymph nodes Dr.N.Mugunthan
Femoral triangle & inguinal lymph nodes Dr.N.MugunthanFemoral triangle & inguinal lymph nodes Dr.N.Mugunthan
Femoral triangle & inguinal lymph nodes Dr.N.MugunthanMUGUNTHAN Dr.Mugunthan
 
Surgical anatomy of the inguinal canal
Surgical anatomy of the inguinal canalSurgical anatomy of the inguinal canal
Surgical anatomy of the inguinal canalVernon Pashi
 
Anterior abdominal wall
Anterior abdominal wallAnterior abdominal wall
Anterior abdominal wallMoamer Gabsa
 
Presentation1.pptx, radiological imaging of esophageal lesions.
Presentation1.pptx, radiological imaging of esophageal lesions.Presentation1.pptx, radiological imaging of esophageal lesions.
Presentation1.pptx, radiological imaging of esophageal lesions.Abdellah Nazeer
 
Pediatric chest (part 2)
Pediatric chest (part 2)Pediatric chest (part 2)
Pediatric chest (part 2)Dr. Mohit Goel
 
TREATMENT AND MANAGEMENT OF HERNIA
TREATMENT AND MANAGEMENT OF HERNIATREATMENT AND MANAGEMENT OF HERNIA
TREATMENT AND MANAGEMENT OF HERNIADR. SACHIN OJHA
 
topographic anatomy Abdomen
topographic anatomy  Abdomentopographic anatomy  Abdomen
topographic anatomy AbdomenMedical Students
 
chest X ray basics and interpretation
chest X ray basics and interpretationchest X ray basics and interpretation
chest X ray basics and interpretationsomaskandan Rajendran
 
Esophageal trauma
Esophageal traumaEsophageal trauma
Esophageal traumaJesna Joy
 
Inguinal hernia ppt
Inguinal hernia pptInguinal hernia ppt
Inguinal hernia pptViswa Kumar
 

What's hot (20)

Left ventricular enlargement radiology
Left ventricular enlargement radiologyLeft ventricular enlargement radiology
Left ventricular enlargement radiology
 
Chest X-ray: The Basics
Chest X-ray: The BasicsChest X-ray: The Basics
Chest X-ray: The Basics
 
Hernia
Hernia Hernia
Hernia
 
Anatomy penis.pptx
Anatomy penis.pptxAnatomy penis.pptx
Anatomy penis.pptx
 
Varicose vein ppt (thu)
Varicose vein ppt (thu)Varicose vein ppt (thu)
Varicose vein ppt (thu)
 
Anal fissure & fistula in ano PPT By Dr Anil Kumar, Assistant Professor, AIIM...
Anal fissure & fistula in ano PPT By Dr Anil Kumar, Assistant Professor, AIIM...Anal fissure & fistula in ano PPT By Dr Anil Kumar, Assistant Professor, AIIM...
Anal fissure & fistula in ano PPT By Dr Anil Kumar, Assistant Professor, AIIM...
 
Imaging of Pulmonary Embolism
Imaging of Pulmonary Embolism  Imaging of Pulmonary Embolism
Imaging of Pulmonary Embolism
 
Femoral triangle & inguinal lymph nodes Dr.N.Mugunthan
Femoral triangle & inguinal lymph nodes Dr.N.MugunthanFemoral triangle & inguinal lymph nodes Dr.N.Mugunthan
Femoral triangle & inguinal lymph nodes Dr.N.Mugunthan
 
Surgical anatomy of the inguinal canal
Surgical anatomy of the inguinal canalSurgical anatomy of the inguinal canal
Surgical anatomy of the inguinal canal
 
Anterior abdominal wall
Anterior abdominal wallAnterior abdominal wall
Anterior abdominal wall
 
Presentation1.pptx, radiological imaging of esophageal lesions.
Presentation1.pptx, radiological imaging of esophageal lesions.Presentation1.pptx, radiological imaging of esophageal lesions.
Presentation1.pptx, radiological imaging of esophageal lesions.
 
Hernia
HerniaHernia
Hernia
 
Pediatric chest (part 2)
Pediatric chest (part 2)Pediatric chest (part 2)
Pediatric chest (part 2)
 
TREATMENT AND MANAGEMENT OF HERNIA
TREATMENT AND MANAGEMENT OF HERNIATREATMENT AND MANAGEMENT OF HERNIA
TREATMENT AND MANAGEMENT OF HERNIA
 
topographic anatomy Abdomen
topographic anatomy  Abdomentopographic anatomy  Abdomen
topographic anatomy Abdomen
 
chest X ray basics and interpretation
chest X ray basics and interpretationchest X ray basics and interpretation
chest X ray basics and interpretation
 
Spigelean hernia
Spigelean herniaSpigelean hernia
Spigelean hernia
 
Azygos system
Azygos systemAzygos system
Azygos system
 
Esophageal trauma
Esophageal traumaEsophageal trauma
Esophageal trauma
 
Inguinal hernia ppt
Inguinal hernia pptInguinal hernia ppt
Inguinal hernia ppt
 

Viewers also liked

Anatomy of abdomen and regions of trunk
Anatomy of abdomen and regions of trunkAnatomy of abdomen and regions of trunk
Anatomy of abdomen and regions of trunkFaarah Yusuf
 
Introduction abdomen-dr.gosai
Introduction abdomen-dr.gosaiIntroduction abdomen-dr.gosai
Introduction abdomen-dr.gosaiDr.B.B. Gosai
 
Abdominopelvic regions and quadrants
Abdominopelvic regions and quadrantsAbdominopelvic regions and quadrants
Abdominopelvic regions and quadrantsMarlen Cruz
 
Anatomy 210 abdomen & pelvis for semester ii year 2012-2013
Anatomy 210 abdomen & pelvis   for semester ii year 2012-2013Anatomy 210 abdomen & pelvis   for semester ii year 2012-2013
Anatomy 210 abdomen & pelvis for semester ii year 2012-2013AHS_anatomy2
 
Urogenital embryology
Urogenital embryology Urogenital embryology
Urogenital embryology Sameh Shehata
 
Le foie _v_biliaires_panc
Le foie _v_biliaires_pancLe foie _v_biliaires_panc
Le foie _v_biliaires_panclaamlove
 
Anterolateral abdominal wall (rectus sheath) & hernia
Anterolateral abdominal wall (rectus sheath) & herniaAnterolateral abdominal wall (rectus sheath) & hernia
Anterolateral abdominal wall (rectus sheath) & herniaIrma Suntoo
 
Abdominal wall 1
Abdominal wall 1Abdominal wall 1
Abdominal wall 1Lach Choni
 
Causes of abdominal pain
Causes of abdominal painCauses of abdominal pain
Causes of abdominal painAbino David
 
General rules of abdomenal examination
General rules of abdomenal examinationGeneral rules of abdomenal examination
General rules of abdomenal examinationcardilogy
 
Principles of abdominal anatomy
Principles of abdominal anatomyPrinciples of abdominal anatomy
Principles of abdominal anatomyjehh87
 
Cross Sectional Anatomy Of The Abdomen Annotated
Cross Sectional Anatomy Of The Abdomen AnnotatedCross Sectional Anatomy Of The Abdomen Annotated
Cross Sectional Anatomy Of The Abdomen AnnotatedDebby Edney
 
Abdomen, clinical anatomy
Abdomen, clinical anatomy  Abdomen, clinical anatomy
Abdomen, clinical anatomy Deepak Khedekar
 
Anatomy of peritoneum
Anatomy of peritoneumAnatomy of peritoneum
Anatomy of peritoneumAhmed Salah
 

Viewers also liked (20)

Anatomy of abdomen and regions of trunk
Anatomy of abdomen and regions of trunkAnatomy of abdomen and regions of trunk
Anatomy of abdomen and regions of trunk
 
Introduction abdomen-dr.gosai
Introduction abdomen-dr.gosaiIntroduction abdomen-dr.gosai
Introduction abdomen-dr.gosai
 
Abdominopelvic regions and quadrants
Abdominopelvic regions and quadrantsAbdominopelvic regions and quadrants
Abdominopelvic regions and quadrants
 
Anatomy 210 abdomen & pelvis for semester ii year 2012-2013
Anatomy 210 abdomen & pelvis   for semester ii year 2012-2013Anatomy 210 abdomen & pelvis   for semester ii year 2012-2013
Anatomy 210 abdomen & pelvis for semester ii year 2012-2013
 
Urogenital embryology
Urogenital embryology Urogenital embryology
Urogenital embryology
 
abdomen
abdomenabdomen
abdomen
 
Abdominal examination
Abdominal examinationAbdominal examination
Abdominal examination
 
Le foie _v_biliaires_panc
Le foie _v_biliaires_pancLe foie _v_biliaires_panc
Le foie _v_biliaires_panc
 
Anterolateral abdominal wall (rectus sheath) & hernia
Anterolateral abdominal wall (rectus sheath) & herniaAnterolateral abdominal wall (rectus sheath) & hernia
Anterolateral abdominal wall (rectus sheath) & hernia
 
Abdominal wall 1
Abdominal wall 1Abdominal wall 1
Abdominal wall 1
 
Anatomie abdomen
Anatomie abdomenAnatomie abdomen
Anatomie abdomen
 
Causes of abdominal pain
Causes of abdominal painCauses of abdominal pain
Causes of abdominal pain
 
The Peritoneum
The PeritoneumThe Peritoneum
The Peritoneum
 
General rules of abdomenal examination
General rules of abdomenal examinationGeneral rules of abdomenal examination
General rules of abdomenal examination
 
Principles of abdominal anatomy
Principles of abdominal anatomyPrinciples of abdominal anatomy
Principles of abdominal anatomy
 
Cross Sectional Anatomy Of The Abdomen Annotated
Cross Sectional Anatomy Of The Abdomen AnnotatedCross Sectional Anatomy Of The Abdomen Annotated
Cross Sectional Anatomy Of The Abdomen Annotated
 
Anterior abdominal wall
Anterior abdominal wallAnterior abdominal wall
Anterior abdominal wall
 
Peritoneum slides
Peritoneum slidesPeritoneum slides
Peritoneum slides
 
Abdomen, clinical anatomy
Abdomen, clinical anatomy  Abdomen, clinical anatomy
Abdomen, clinical anatomy
 
Anatomy of peritoneum
Anatomy of peritoneumAnatomy of peritoneum
Anatomy of peritoneum
 

Similar to Inguninal hernia pbl

Z-L5-B123-RHb.pptx
Z-L5-B123-RHb.pptxZ-L5-B123-RHb.pptx
Z-L5-B123-RHb.pptxEnockKizito1
 
New Microsoft PowerPoint Presentation - Copy
New Microsoft PowerPoint Presentation - CopyNew Microsoft PowerPoint Presentation - Copy
New Microsoft PowerPoint Presentation - CopyAboubakr O A H S Ahmed
 
Surgical anatomy of salivary glands
Surgical anatomy of salivary glandsSurgical anatomy of salivary glands
Surgical anatomy of salivary glandsDr./ Ihab Samy
 
Contents of male and female perineal pouches copy
Contents of male and female perineal pouches   copyContents of male and female perineal pouches   copy
Contents of male and female perineal pouches copyAbdul Ansari
 
Development of genital system
Development of genital systemDevelopment of genital system
Development of genital systemAkshayKumar65331
 
REPRODUCTIVE DISORDERS OF RICHARDS, FILAMER
REPRODUCTIVE DISORDERS OF RICHARDS, FILAMERREPRODUCTIVE DISORDERS OF RICHARDS, FILAMER
REPRODUCTIVE DISORDERS OF RICHARDS, FILAMERshenell delfin
 
Female genital system anatomy & embryology
Female genital system anatomy & embryologyFemale genital system anatomy & embryology
Female genital system anatomy & embryologyDiaa El-Mowafi
 
Sonographic appearance of endometrial osseous metaplasia
Sonographic appearance of endometrial osseous metaplasiaSonographic appearance of endometrial osseous metaplasia
Sonographic appearance of endometrial osseous metaplasiaVrishit Saraswat
 
Development of the female reproductive system
Development of the female reproductive systemDevelopment of the female reproductive system
Development of the female reproductive systemSahar Hafeez
 
Seminar on scrotal swelling
Seminar on scrotal swellingSeminar on scrotal swelling
Seminar on scrotal swellingAbuneder Ababu
 
male genitalia congenital diseases
male genitalia congenital diseases male genitalia congenital diseases
male genitalia congenital diseases Khaldoon Alaghbari
 
Hereditary and acquired causes of infertility
Hereditary and acquired causes of infertilityHereditary and acquired causes of infertility
Hereditary and acquired causes of infertilityTushar Watane
 
Breech presentation..pptx
Breech presentation..pptxBreech presentation..pptx
Breech presentation..pptxIshaniGautam2
 
Sexual differentiation-Dr.B.B.Gosai
Sexual differentiation-Dr.B.B.GosaiSexual differentiation-Dr.B.B.Gosai
Sexual differentiation-Dr.B.B.GosaiDr.B.B. Gosai
 
Anorectal malformation ppt 5
Anorectal malformation ppt 5Anorectal malformation ppt 5
Anorectal malformation ppt 5RamanUppal3
 
Femalereproductiveorgan 150117083020-conversion-gate01-converted
Femalereproductiveorgan 150117083020-conversion-gate01-convertedFemalereproductiveorgan 150117083020-conversion-gate01-converted
Femalereproductiveorgan 150117083020-conversion-gate01-convertedBrijesh Pratap Singh
 
Paediatric Urology [Dr.Edmond Wong]
Paediatric Urology [Dr.Edmond Wong]Paediatric Urology [Dr.Edmond Wong]
Paediatric Urology [Dr.Edmond Wong]Edmond Wong
 

Similar to Inguninal hernia pbl (20)

Z-L5-B123-RHb.pptx
Z-L5-B123-RHb.pptxZ-L5-B123-RHb.pptx
Z-L5-B123-RHb.pptx
 
New Microsoft PowerPoint Presentation - Copy
New Microsoft PowerPoint Presentation - CopyNew Microsoft PowerPoint Presentation - Copy
New Microsoft PowerPoint Presentation - Copy
 
Surgical anatomy of salivary glands
Surgical anatomy of salivary glandsSurgical anatomy of salivary glands
Surgical anatomy of salivary glands
 
Hernia
HerniaHernia
Hernia
 
Contents of male and female perineal pouches copy
Contents of male and female perineal pouches   copyContents of male and female perineal pouches   copy
Contents of male and female perineal pouches copy
 
Development of genital system
Development of genital systemDevelopment of genital system
Development of genital system
 
REPRODUCTIVE DISORDERS OF RICHARDS, FILAMER
REPRODUCTIVE DISORDERS OF RICHARDS, FILAMERREPRODUCTIVE DISORDERS OF RICHARDS, FILAMER
REPRODUCTIVE DISORDERS OF RICHARDS, FILAMER
 
DnC.pptx
DnC.pptxDnC.pptx
DnC.pptx
 
Female genital system anatomy & embryology
Female genital system anatomy & embryologyFemale genital system anatomy & embryology
Female genital system anatomy & embryology
 
Inguinal canal
Inguinal canalInguinal canal
Inguinal canal
 
Sonographic appearance of endometrial osseous metaplasia
Sonographic appearance of endometrial osseous metaplasiaSonographic appearance of endometrial osseous metaplasia
Sonographic appearance of endometrial osseous metaplasia
 
Development of the female reproductive system
Development of the female reproductive systemDevelopment of the female reproductive system
Development of the female reproductive system
 
Seminar on scrotal swelling
Seminar on scrotal swellingSeminar on scrotal swelling
Seminar on scrotal swelling
 
male genitalia congenital diseases
male genitalia congenital diseases male genitalia congenital diseases
male genitalia congenital diseases
 
Hereditary and acquired causes of infertility
Hereditary and acquired causes of infertilityHereditary and acquired causes of infertility
Hereditary and acquired causes of infertility
 
Breech presentation..pptx
Breech presentation..pptxBreech presentation..pptx
Breech presentation..pptx
 
Sexual differentiation-Dr.B.B.Gosai
Sexual differentiation-Dr.B.B.GosaiSexual differentiation-Dr.B.B.Gosai
Sexual differentiation-Dr.B.B.Gosai
 
Anorectal malformation ppt 5
Anorectal malformation ppt 5Anorectal malformation ppt 5
Anorectal malformation ppt 5
 
Femalereproductiveorgan 150117083020-conversion-gate01-converted
Femalereproductiveorgan 150117083020-conversion-gate01-convertedFemalereproductiveorgan 150117083020-conversion-gate01-converted
Femalereproductiveorgan 150117083020-conversion-gate01-converted
 
Paediatric Urology [Dr.Edmond Wong]
Paediatric Urology [Dr.Edmond Wong]Paediatric Urology [Dr.Edmond Wong]
Paediatric Urology [Dr.Edmond Wong]
 

More from Zaid Azhar

Article review Scottish Retinal Detachment Survey.pptx
Article review Scottish Retinal Detachment Survey.pptxArticle review Scottish Retinal Detachment Survey.pptx
Article review Scottish Retinal Detachment Survey.pptxZaid Azhar
 
Post operative care in gynecologic surgery.pptx
Post operative care in gynecologic surgery.pptxPost operative care in gynecologic surgery.pptx
Post operative care in gynecologic surgery.pptxZaid Azhar
 
Research Paper Outline Presentation/powerpoint
Research Paper Outline Presentation/powerpointResearch Paper Outline Presentation/powerpoint
Research Paper Outline Presentation/powerpointZaid Azhar
 
Presbyopia.pptx
Presbyopia.pptxPresbyopia.pptx
Presbyopia.pptxZaid Azhar
 
Lasers in Ophthalmology.pptx
Lasers in Ophthalmology.pptxLasers in Ophthalmology.pptx
Lasers in Ophthalmology.pptxZaid Azhar
 
Contact Lenses and LVAs.pptx
Contact Lenses and LVAs.pptxContact Lenses and LVAs.pptx
Contact Lenses and LVAs.pptxZaid Azhar
 
Accommodation by the eye.pptx
Accommodation by the eye.pptxAccommodation by the eye.pptx
Accommodation by the eye.pptxZaid Azhar
 
Disaster Management.ppt
Disaster Management.pptDisaster Management.ppt
Disaster Management.pptZaid Azhar
 
Levels of Prevention. ppt.ppt
Levels of Prevention. ppt.pptLevels of Prevention. ppt.ppt
Levels of Prevention. ppt.pptZaid Azhar
 
EPI Schedule and diseases.pptx
EPI Schedule and diseases.pptxEPI Schedule and diseases.pptx
EPI Schedule and diseases.pptxZaid Azhar
 
Primary Health Care.pptx
Primary Health Care.pptxPrimary Health Care.pptx
Primary Health Care.pptxZaid Azhar
 
Epinephrine and Norepinephrine.pptx
Epinephrine and Norepinephrine.pptxEpinephrine and Norepinephrine.pptx
Epinephrine and Norepinephrine.pptxZaid Azhar
 
Cranial Nerves.pptx
Cranial Nerves.pptxCranial Nerves.pptx
Cranial Nerves.pptxZaid Azhar
 
Hearing and Balance.ppt
Hearing and Balance.pptHearing and Balance.ppt
Hearing and Balance.pptZaid Azhar
 
Anatomy of ear.ppt
Anatomy of ear.pptAnatomy of ear.ppt
Anatomy of ear.pptZaid Azhar
 
Eye Movements.pptx
Eye Movements.pptxEye Movements.pptx
Eye Movements.pptxZaid Azhar
 
Intraocular Pressure.pptx
Intraocular Pressure.pptxIntraocular Pressure.pptx
Intraocular Pressure.pptxZaid Azhar
 

More from Zaid Azhar (20)

Article review Scottish Retinal Detachment Survey.pptx
Article review Scottish Retinal Detachment Survey.pptxArticle review Scottish Retinal Detachment Survey.pptx
Article review Scottish Retinal Detachment Survey.pptx
 
Post operative care in gynecologic surgery.pptx
Post operative care in gynecologic surgery.pptxPost operative care in gynecologic surgery.pptx
Post operative care in gynecologic surgery.pptx
 
Research Paper Outline Presentation/powerpoint
Research Paper Outline Presentation/powerpointResearch Paper Outline Presentation/powerpoint
Research Paper Outline Presentation/powerpoint
 
Presbyopia.pptx
Presbyopia.pptxPresbyopia.pptx
Presbyopia.pptx
 
Lasers in Ophthalmology.pptx
Lasers in Ophthalmology.pptxLasers in Ophthalmology.pptx
Lasers in Ophthalmology.pptx
 
Contact Lenses and LVAs.pptx
Contact Lenses and LVAs.pptxContact Lenses and LVAs.pptx
Contact Lenses and LVAs.pptx
 
Accommodation by the eye.pptx
Accommodation by the eye.pptxAccommodation by the eye.pptx
Accommodation by the eye.pptx
 
Disaster Management.ppt
Disaster Management.pptDisaster Management.ppt
Disaster Management.ppt
 
Levels of Prevention. ppt.ppt
Levels of Prevention. ppt.pptLevels of Prevention. ppt.ppt
Levels of Prevention. ppt.ppt
 
Screening.ppt
Screening.pptScreening.ppt
Screening.ppt
 
EPI Schedule and diseases.pptx
EPI Schedule and diseases.pptxEPI Schedule and diseases.pptx
EPI Schedule and diseases.pptx
 
Primary Health Care.pptx
Primary Health Care.pptxPrimary Health Care.pptx
Primary Health Care.pptx
 
Epinephrine and Norepinephrine.pptx
Epinephrine and Norepinephrine.pptxEpinephrine and Norepinephrine.pptx
Epinephrine and Norepinephrine.pptx
 
Meninges.pptx
Meninges.pptxMeninges.pptx
Meninges.pptx
 
Cranial Nerves.pptx
Cranial Nerves.pptxCranial Nerves.pptx
Cranial Nerves.pptx
 
Taste.pptx
Taste.pptxTaste.pptx
Taste.pptx
 
Hearing and Balance.ppt
Hearing and Balance.pptHearing and Balance.ppt
Hearing and Balance.ppt
 
Anatomy of ear.ppt
Anatomy of ear.pptAnatomy of ear.ppt
Anatomy of ear.ppt
 
Eye Movements.pptx
Eye Movements.pptxEye Movements.pptx
Eye Movements.pptx
 
Intraocular Pressure.pptx
Intraocular Pressure.pptxIntraocular Pressure.pptx
Intraocular Pressure.pptx
 

Recently uploaded

Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...aartirawatdelhi
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...Taniya Sharma
 
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...narwatsonia7
 
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...narwatsonia7
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...chandars293
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...astropune
 
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night EnjoyCall Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoybabeytanya
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...astropune
 
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...Neha Kaur
 
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...narwatsonia7
 
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls JaipurCall Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipurparulsinha
 
Call Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on Delivery
Call Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on DeliveryCall Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on Delivery
Call Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on Deliverynehamumbai
 
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...CALL GIRLS
 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...hotbabesbook
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...jageshsingh5554
 

Recently uploaded (20)

Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
 
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
 
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
 
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
 
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night EnjoyCall Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
 
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
 
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
 
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
 
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls JaipurCall Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
 
Call Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on Delivery
Call Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on DeliveryCall Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on Delivery
Call Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on Delivery
 
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
 

Inguninal hernia pbl