27 - Richter's hernia

These are the pictures of a type of hernia called the richter's hernia . It involves the herniation of only one side wall of the intestine which can lead to gangrene and perforation but there will be no symptoms of intestinal obstruction. 


Antimesenteric border only of the small intestine is incarcerated in the deep inguinal ring, therefore intestinal obstruction may be absent, but gangrene of the bowel wall may occur.



It is named after German surgeon August Gottlieb Richter (1742-1812).

Richter's hernia is seen most commonly in Femoral hernia . 


Amyand hernia is a type of hernia which contains appendix in it .

20 - surgery mcqs - 161 to 170

161) A 30 year old man, smoker developed gangrene foot. The most probable diagnosis

a. TAO

b. Atherosclerosis

c. Raynaud’s syndrome

d. None of the above

Answer: a) TAO

Reference: Bailey and Love 24^th Edition Page 951

162) Latest Investigation for detecting adrenal and extra adrenal phaeochromocytoma is

a. CT Scan

b. Radio Iodine labeled MIBG

c. MRI

d. USG

Answer : b) Radio Iodine labeled MIBG

Reference: Bailey and Love 24^th Edition Page 819

163) Cobra head appearance in IVU

a. Ureterocele

b. Ca Bladder

c. Renal Artery Stenosis

d. Chronic Pyelonephritis

Answer a) Ureterocele

Reference: Bailey and Love 24^th Edition Page 1310

164) Most Common infection of Parotid gland is

a. Fungal

b. Viral

c. Bacterial

d. Parasitic

Answer : b) Viral

Reference: Harrison 15^th Edition Chapter 196

165) Cystosarcoma phylloides treatment

a. Enucleation

b. Radiation

c. Radical mastectomy

d. CHemotherapy

Answer a) Enucleation

Reference: Bailey and Love 24^th Edition Page 835

166) Treatment of Anaplastic carcinoma of Thyroid

a. Isthmusectomy

b. Hemithyroidectomy

c. Sub total thyroidectomy

d. Total Thyroidectomy

Answer a) Isthmusectomy

Reference: Bailey and Love 24^th Edition Page 801

167) Most important prognostic factor for Malignant melanoma

a. Depth of invasion

b. White / black race

c. Lymphatic spread

d. None of these

Answer a) Depth of Invasion

Reference: Sabiston 15^th Edition Chapter 21

168) True about Malignant Melanoma

a. Prognosis depends on depth of lesion

b. Spreads by local, lymphatic and blood spread

c. suspicious mole to be excised

d. All of these

Answer d) All of the above

Reference: Sabiston 15^th Edition Chapter 21

169) True about Femoral hernia

a. Common in females

b. Most Common Hernia is Females

c. Both

d. None

Answer a) Common in females

Reference: Surgical Short Cases Das 2^nd Edition Page 280

170) The carcinoma that spreads by blood

a. Ca cervix

b. Bladder Carcinoma

c. Renal cell carcinoma

d. Squamous cell carcinoma

Answer c) Renal Cell Carcinoma

Reference: Bailey and Love 24^th Edition Page 1330