From my unexpected day in the library today, this is hands down the best paragraph I have ever seen written in a medical textbook:
Although clinically it is usually quite easy to tell the difference between the two types of inguinal hernia, the ultimate differentiation can only be made at operation: the inferior epigastric vessels demarcate the medial edge of the internal ring, therefore an indirect sac will pass lateral and a direct hernia medial to these vessels. Quite often, a direct and indirect hernia coexist: they bulge on either side of the inferior epigastric vessels like the legs of a pair of pantaloons.
Ellis et al, Lecture Notes in General Surgery 11th Ed.
It’s called a pantaloon hernia.