A coronal slice revealed that appropriate repair for bilateral bladder
sliding hernia was performed.
The diagnosis of this affliction is almost always made intraoperatively, as the absence of specific clinical features precludes initial diagnosis and investigation.2 Presented here is the case of one such
sliding hernia with the incidental finding of an appendix upon dissection of the hernial sac.
An ovary in a hernia sac might be assumed to be a descended gonad, mimicking descent of the testis rather than simply prolapsed which presents as
sliding hernia. (7) The ligament that lies in the inguinal hernia sac in females believed to be the round ligament of uterus is actually the suspensory ligament of the ovary.
Open mesh repair is suitable for all types of groin hernias including strangulated, irreducible,
sliding hernia or in elderly patients and patients with co-morbidity.
HH is classified into two types depending on the position of the gastroesophageal (GE) junction and the extent of herniated stomach:
sliding hernias and paraesophageal hernias [6, 7].