2016, Number 3
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Revista Cubana de Cirugía 2016; 55 (3)
Intestinal occlusion by Littré hernia
Mesa IO, Ferrer RH, Pelegrino RR, Travieso PG, Díaz FA
Language: Spanish
References: 7
Page: 259-264
PDF size: 111.78 Kb.
ABSTRACT
Littré hernia is defined as the presence of a Meckel's diverticulum inside any hernial
orifice. Very few cases are reported in literature because its rarity, with an
incidence of approximately 2% of the general population. We report a 70-year-old
man who came to the emergency department for filing an intestinal obstruction due
to an incarcerated right inguinal scrotal hernia. He urgently underwent surgery
because of this diagnosis. Surgery was addressed by right preperitoneal inguinal
via. A gangrenous and perforated Meckel's diverticulum was found inside the hernia
sac. Intestinal resection was performed. The distal end of the terminal ileum was
closed near the valve, the íleocolon latero-side up anastomosis was performed and the hernia defect was repaired with a polypropylene mesh. The patient did well and
was discharged 7 days later.
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