A femoral hernia is being repaired. The surgeon identifies two distinct sacs: a proper peritoneal sac and a second sac formed by extraperitoneal fat and preperitoneal fascia lying between them. This variant is known as:

• A Velpeau hernia
• B Cloquet's hernia
• C Cooper's hernia ✓
• D Richter's hernia

Explanation

Cooper's hernia is a femoral hernia with two sacs, the outer one formed by preperitoneal fat and fascia, named after Astley Cooper who first described it. Cloquet's hernia is a femoral hernia that passes deep to the pectineal fascia behind the femoral vessels, and Velpeau's hernia lies in front of the femoral vessels. Richter's hernia concerns partial circumference bowel entrapment and does not describe sac morphology.

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

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.