PAEA Surgery End Of Rotation (EOR) Practice Exam

What type of hernia is defined as containing a Meckel's diverticulum?

1. Richter hernia

2. Littre hernia

3. Epigastric hernia

4. Hiatal hernia

The correct answer is: Littre hernia

A hernia that contains a Meckel's diverticulum is referred to as a Littre hernia. A Littre hernia is a specific type of hernia that includes a segment of the intestine along with an abnormal intestinal pouch, known as a diverticulum. In this case, the diverticulum is the Meckel's diverticulum, which is a remnant of the omphalomesenteric duct and can be located on the ileum. Understanding the significance of Meckel's diverticulum is important in this context. It is a congenital abnormality that can lead to complications such as intestinal obstruction or inflammation. When it is present within a hernia, it can contribute to the clinical scenario by potentially causing strangulation or incarceration of the diverticulum, leading to significant morbidity if not appropriately managed. In contrast, the other types of hernias listed do not relate to the presence of Meckel's diverticulum. Richter's hernia typically involves only part of the circumference of the bowel wall, while epigastric hernias occur in the epigastric region and are often comprised of preperitoneal fat or, less commonly, of omentum. Hiatal hernias involve the displacement of abdominal contents through the