An 84-year-old man has had a reducible hernia in the right groin for 17 years. One day before admission to the hospital, he complains of abdominal pain; because of the swelling, the hernia has become irreducible. At operation, part of the wall of the cecum is noted to form a portion of the hernia sac. What is the hernia?

Correct Answer: Sliding hernia
Description: In this variety, the hernia does not have a complete covering of peritoneum. It is called a sliding hernia. It is important that the surgeon does not attempt to remove peritoneum from the circumference bowel wall where it does not exist, because the bowel will become devascularized.
Category: Surgery
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