In which one of the following type of hernia do the abdominal viscera from a part of the wall of hernial sac?
A. Pantaloon hernia
B. Sliding hernia
C. Richter’s hernia
D. Indirect inguinal hernia
A. Pantaloon hernia
B. Sliding hernia
C. Richter’s hernia
D. Indirect inguinal hernia
Ans. B.
As a result of
slipping of the posterior parietal peritoneum on the underlying
retroperitioneal structures, the posterior wall of the sac in sliding hernia is
not formed by peritoneum alone, but by
the sigmoid colon and its mesentery on the left, the caecum on the right and,
sometimes, on either side by a portion ofthe bladder. In Richter hernia, a
portion of circumference of intestine is seen.
Dual sliding
bag/pantaloon hernia: Two sacs, which straddle the inferior epigastric artery,
one sac being medial and the other lateral to the vessel.
FAQSliding Hernia:
·Seen exclusively
in males. Five out of six hernias is on
left side making sigmoid colon and its mesentery as most common
constituent. Bilateral cases are rare.
·Always over 40
years and incidence rises with age.
