A 50-year-old man has both a direct and indirect inguinal hernia on the same side, with the two sacs separated by the inferior epigastric vessels. What is this type of hernia called?
- A Richter's hernia
- B Littre's hernia
- C Pantaloon hernia ✓
- D Amyand's hernia
Correct answer: C. Pantaloon hernia
Explanation
A pantaloon hernia (also called saddlebag hernia or Romberg hernia) occurs when both a direct and indirect hernia coexist on the same side, with the inferior epigastric vessels separating the two sacs (the 'waist' of the pantaloon). Both sacs must be identified and repaired separately. Richter's hernia involves only part of the bowel circumference, and Amyand's hernia contains the appendix.
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.