Littre's hernia is defined as a hernia sac containing which specific structure?

• A Two loops of bowel in a Richter-type configuration
• B Meckel's diverticulum as the only herniated content ✓
• C The bladder wall forming part of the hernia sac
• D The ovary and fallopian tube in a femoral hernia

Explanation

Littre's hernia refers specifically to a hernia sac containing a Meckel's diverticulum (a true diverticulum representing the remnant of the vitello-intestinal duct, located on the anti-mesenteric border of the ileum). It most commonly occurs in inguinal hernias. Its clinical significance is that the diverticulum may not obstruct the bowel lumen fully, making early strangulation of the diverticulum possible while gut continuity is maintained — presenting with a tender irreducible lump that may be misleading.

Reference: Bailey & Love's Short Practice of Surgery, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.