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Rajveer Choudhary, Praveen Garg, Lokendra Kumar, Mahendra Singh, U. Prashant, Ashish Kumar, Rashpal Thakur, Ashwani Gupta


Sliding hernia, Littre’s hernia and Strangulated hernia are various uncommon varieties of an inguinal hernia. Although individual cases of Sliding hernia, Littre’s hernia and Strangulated hernia have been reported, three of them presenting simultaneously in a hernia is a rarest situation and has not been reported. Diagnosis is made intra-operatively and extra care is needed to prevent bladder and bowel injury. We report a case of right inguinal hernia, where posterior wall of the sac was formed by urinary bladder (Sliding hernia) and content of sac was ischemic ileum (Strangulated hernia) with Meckel’s diverticulum (Littre’s hernia).


Sliding hernia, Littre’s hernia, Strangulated hernia, Hernia, Inguinal Hernia, Ischemic ileum.

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