During repair of an inguinal hernia, a surgeon finds a portion of the sac containing a reddish, blind-ended structure with a heterotopic gastric mucosa lining. Which type of hernia is this?

• A Richter's hernia
• B Sliding hernia
• C Maydl's hernia
• D Littre's hernia ✓

Explanation

Littre's hernia is any hernia whose content is a Meckel diverticulum, which characteristically carries ectopic gastric mucosa. Richter's hernia involves strangulation of only one antimesenteric border of bowel without obstruction, Maydl's hernia is a W-shaped loop with two limbs in the sac, and a sliding hernia has a retroperitoneal organ forming part of the sac wall.

Reference: Bailey and Love's Short Practice of Surgery, 28th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.