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Maydl's hernia

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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Maydl's hernia describes when two adjacent loops of small intestine are within a hernial sac with a tight neck. The intervening portion of bowel within the abdomen is deprived of its blood supply and eventually becomes necrotic.

Symptoms and signs can include:

  • intestinal obstruction
  • hernia:
    • tense
    • slightly tender
    • irreducible
  • tender mass above inguinal ligament

Thus, the strangulated bowel is intra-abdominal. This is a rare variety of strangulation.

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