Rare Hernias

Question 1

Maydi’s hernia

Answer 1

Hernia-in-w
Lethal if undiagnosed

Sac contains 2 loops of bowel with another loop of bowel being intra-abdominal

A loop of bowel in the form of a “w” lies in the hernial sac and and the center portion of the “w” loop may become strangulated
Mostly in men and on the right side

Question 2

Obturator hernia

Answer 2

Hernia of the pelvic floor in which pelvic or abdominal content protrudes through the Obturator foramen

More in women, especially multiparous and older women who have lost a lot of weight

Question 3

Littre’s hernia

Answer 3

Abdominal wall hernia involving meckel’s diverticulum

Question 4

Lumbar hernia

Answer 4

Petit hernia- inferior lumbar triangle

Grynfeltt- Lesshaft hernia - superior lumbar triangle

Question 5

Sciatic hernia

Answer 5

Develops in the pelvis through the sciatic foramen

Question 6

Amyand’s hernia

Answer 6

Rare type of inguinal hernia which occurs when the appendix is included in the hernial sac and becomes incarcerated