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2012, Number 2

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Cir Cir 2012; 80 (2)

Littre´s hernia, an unusual cause of intestinal obstruction

Aláez-Chillarón AB, Ramiro-Pérez C, Rodríguez-Velasco G, Calero-Amaro A, Latorre-Fragua R, Díez-Tabernilla M

Language: Spanish
References: 9
Page: 186-188
PDF size: 135.94 Kb.


ABSTRACT

Background: Littre’s hernia is the presence of a Meckel diverticulum within an orifice in the abdominal wall. There are few cases published in the literature and its frequency is not well described.
Clinical case: We present the case of a 74-year-old patient who arrived at the emergency service with clinical signs of intestinal obstruction caused by an incarcerated right inguinal hernia. Emergency surgery was performed using a preperitoneal approach. Within the hernia, 5 cm of small bowel containing a Meckel diverticulum was found. Therefore, we decided to extirpate the diverticulum and repair the hernia placing a polypropylene mesh.
Conclusions: Meckel diverticulum is the persistence of the omphalomesenteric duct. It is usually asymptomatic, producing bleeding, infection or intestinal obstruction as the main symptoms.


REFERENCES

  1. Skandalakis PN, Zoras O, Skandalakis JE, Mirilas P. Littre Hernia: Surgical Anatomy, Embryology, and Technique of Repair. Am Surg 2006;72(3):238-243.

  2. Biel A, Vilallonga R, López de Cenarruzabeitia I, Rodríguez N, Armengol M. Littré’s hernia: unusual find in inguino-scrotal hernial repair. Rev Esp Enferm Dig 2010;102(8):506-507.

  3. Wyllie R. Intestinal Duplications, Meckel diverticulum and other remnants of the omphalomesenteric duct. Behrman. En: Nelson Test book of Pediatrics. U.S.A: Elsevier Health Sciences, 2003. p. 1137-1139.

  4. Souza HS, Felicio AC, Berthier G. Hérnia de Littré causando obstruçäo intestinal. Rev Col Bras Cir. 2009;36(2):183-184.

  5. Mirza MS. Incarcerated Littre´s femoral hernia: case report and review of the literature. J Ayub Med Call Abbottabad 2007;19(2):60-61.

  6. Ravikumar KK, Khope SS, Ganapathi BP. Meckels diverticulum, diverticulosis of the small intestine; umbilical fistulae and tumor. J Postgrad Med 1989;35:112-113.

  7. Salemis NS. Incarceration of Meckel´s diverticulum trhough a ventral incisional defect: a rare presentation of Littre’s hernia. Hernia 2009:13(4):443-445.

  8. Jacob TJ, Gaikwad P, Tirkey AJ, Rajinikanth J, Raj JP, Muthusami JC. Perforated obturator Littre hernia. Can J Surg 2009:52(3):E77-E78.

  9. You JS, Chung SP, Park YS, Yu JS, Park YA. A Case of Strangulated Small Bowel Obstruction Caused by Meckel´s Diverticulum in an Adult. J Emerg Med 2007:33(2):133-135.




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