Hernia and abdominal wall: Maydl hernia: practice question

A General Surgery question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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General Surgery · Hernia and abdominal wall: Maydl hernia

Sample item

At operation for a strangulated inguinal hernia, two viable loops lie in the sac but the connecting loop in the abdomen is gangrenous. This pattern is called:

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Maydl hernia (hernia en W)

Maydl hernia has two loops in the sac with the connecting intermediate loop lying inside the abdomen, where it can strangulate unseen. Surgeons must deliver and inspect the entire bowel segment.

Option by option

  • A. Spigelian hernia

    Spigelian hernia occurs at the semilunar line.

  • B. Amyand hernia

    Amyand hernia contains the appendix.

  • C. Richter hernia

    Richter involves only part of the bowel wall.

  • D. Maydl hernia (hernia en W) (correct)

    Correct. This W-shaped arrangement defines Maydl hernia.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this General Surgery question

What is the answer to this General Surgery question?

The best answer is D, Maydl hernia (hernia en W). Maydl hernia has two loops in the sac with the connecting intermediate loop lying inside the abdomen, where it can strangulate unseen.

Why is "Spigelian hernia" not the answer?

Spigelian hernia occurs at the semilunar line.

Why is "Amyand hernia" not the answer?

Amyand hernia contains the appendix.

Why is "Richter hernia" not the answer?

Richter involves only part of the bowel wall.

What concept does this question test?

It tests Hernia and abdominal wall: Maydl hernia in General Surgery. Surgeons must deliver and inspect the entire bowel segment.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Hernia and abdominal wall: Maydl hernia?

Learn classic signs and eponyms alongside what they diagnose. Then use the flashcards and the other General Surgery questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.