From the case:
Maydl's hernia (diagram)
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Simple diagram of a Maydl's hernia.
Case Discussion
Maydl's hernia is defined as herniae in which there are two bowel loops present within the hernia sac (or rather two efferent and two afferent loops) forming a "W" shape. The intrabdominal portion may become obstructed or strangulated.
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