Maydl's hernia
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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