Surgery · Hernia (Inguinal, Femoral, Types, Repair)

A Littré hernia is defined as a hernia containing:

  • A Only the antimesenteric wall of the bowel in the hernia sac
  • B The ovary and fallopian tube in the hernia sac
  • C A Meckel's diverticulum in the hernia sac
  • D Two loops of bowel with the intervening mesentery (W-shape)
Correct answer: C. A Meckel's diverticulum in the hernia sac

Explanation

A Littré hernia contains a Meckel's diverticulum in the hernia sac. A Richter hernia contains only the antimesenteric border of the bowel wall (not the full lumen). A Maydl hernia (W hernia) contains two loops of bowel with the intervening loop strangulated inside the abdomen. An Amyand hernia contains the appendix; a hernia of the ovary/tube is an ovarian hernia.

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

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