A Littre's hernia is defined as a hernia containing which of the following?

• A Two adjacent loops of small bowel (Maydl's hernia)
• B Only the anti-mesenteric wall of the bowel (Richter's hernia)
• C Appendix (Amyand's hernia)
• D Meckel's diverticulum ✓

Explanation

A Littre's hernia specifically contains a Meckel's diverticulum as part of the hernia contents. It was described by Alexis Littre in 1700. The Meckel's diverticulum may strangulate within the sac even while the rest of the bowel remains viable, making it clinically deceptive. Richter's hernia contains only the anti-mesenteric wall; Maydl's hernia contains a W-loop of bowel; Amyand's hernia contains the appendix (usually in the right inguinal sac).

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

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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