PAEA Surgery End Of Rotation (EOR) Practice Exam

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A sliding hernia typically contains which of the following?

  1. Intra-abdominal organs

  2. Muscle tissue

  3. Fatty tissue

  4. Only the stomach

The correct answer is: Intra-abdominal organs

A sliding hernia is characterized by the protrusion of intra-abdominal organs through a defect in the abdominal wall. In this type of hernia, the hernia sac includes a combination of the parietal peritoneum and a portion of the visceral organ, which is usually a segment of the intestine. This means that the hernia sac is not just containing fatty tissue or muscle, but rather actual components of the abdominal cavity, such as the stomach or part of the colon, depending on the specific type of sliding hernia. The presence of these intra-abdominal organs is what distinguishes a sliding hernia from other types of hernias that may contain more atypical contents.