medigraphic.com
Revista Médica Sinergia

2024, Number 02

Next >>

Revista Médica Sinergia 2024; 9 (02)

Littre's hernia: literature review

Condor GLJ, Yépez YFE

Language: Spanish
References: 33
Page:
PDF size: 360.78 Kb.


ABSTRACT

Littré's hernia is a rare finding with less than 100 cases reported in the literature that is described as the presence of a Meckel's diverticulum within a hernial sac. Its incidence is unknown, but it has been reported that 1% of patients with Meckel's diverticulum will develop a Littré's hernia. Although Meckel's diverticulum is more common in men, Littré's hernia presents similarly in both men and women and is typically exhibited as a femoral, inguinal, and umbilical hernia. Littré's hernia may remain asymptomatic, being diagnosed incidentally during surgery, present with non-specific symptoms and signs such as abdominal pain, bloating, nausea and vomiting, or develop a complicated picture such as strangulation, incarceration, perforation and enterocutaneous fistula. Its definitive diagnosis is usually found intraoperatively during hernia repair. Treatment is surgical and includes repair of the hernia defect and management of Meckel's diverticulum. Resection of Meckel's diverticulum is indicated in cases of complicated Littré's hernia, but resection in the context of an incidentally found asymptomatic Meckel's diverticulum is a particular case that poses therapeutic dilemmas.


REFERENCES

  1. Beraldo G, Reyes S, Varela Vega M, Rodríguez A. Hernia de Littré en adultos: Reporte de 2 casos clínicos. Salud Mil [Internet]. Diciembre, 2021 [citado el 11 de enero, 2024];40(2):72-79. DOI: 10.35954/sm2021.40.2.7.e502

  2. Schizas D, Katsaros I, Tsapralis D, Moris D, Michalinos A, Tsilimigras DI, et al. Littre’s hernia: a systematic review of the literature. Hernia [Internet]. 2019 [citado el 11 enero 2024];23(1):125–30. DOI: 10.1007/s10029-018-1867-0

  3. Răcăreanu M, Preda SD, Preda A, Strâmbu VDE, Radu PA, Bratiloveanu TC, et al. Management of Littre Hernia—Case Report and Systematic Review of Case Reports. J Clin Med [Internet]. 2023 [citado el 11 enero 2024];12(11):3743. DOI: 10.3390/jcm12113743

  4. Robijn J, Sebrechts E, Miserez M. Management of incidentally found Meckel’s diverticulum. A new approach: Resection based on a risk score. Acta Chir Belg [Internet]. 2006 [citado el 11 enero 2024];106(4):467–70. DOI: 10.1080/00015458.2006.11679933

  5. Lequet J, Menahem B, Alves A, Fohlen A, Mulliri A. Meckel’s diverticulum in theHerniaadult.J Visc Surg [Internet]. 2017 [citado el 11 enero 2024];154(4):253–9. DOI: 10.1016/j.jviscsurg.2017.06.006

  6. Kuru S, Kismet K. Meckel’s diverticulum: Clinical features, diagnosis and management. Rev Esp Enfermedades Dig [Internet]. 2018 [citado el 11 enero 2024];110(10):726–32. DOI: 10.17235/reed.2018.5628/2018

  7. Curmi A, Dimech AP, Dalli R, Mostafa A, Debono J. A Rare Case of Acquired Transthoracic Littre’s Hernia. Surg J [Internet]. 2019 [citado el 11 enero 2024];05(04):e150-3. DOI: 10.1055/s-0039-1696727

  8. Johnson GGRJ, Holden J, Helewa RM, Hochman D, Hyun E. A strangulated meckel’s diverticulum in an inguinal hernia: A case report and literature review. Int Med Case Rep J [Internet]. 2021 [citado el 11 enero 2024];14(1):605–9. DOI: 10.2147/IMCRJ.S325390

  9. Yépez F, Carranza A. Raro caso de obstrucción intestinal por vólvulo de íleon terminal debido a divertículo de Meckel en paciente geronte. Polo del Conoc [Internet]. 2022 [citado el 11 de enero, 2024];7(6):626–39. DOI: 10.23857/pc.v7i6.4095

  10. 10.Sempértegui Moscoso R, Campos Abad S, Salazar Suárez JA, Reyes Ipiales L, Santillán X. Divertículo de Meckel, reporte de tres casos en hospitales de tercer nivel de Quito, Ecuador. Metro Cienc [Internet]. 2022 [citado el 11 de enero, 2024];30(3):75–84. DOI: 10. 47464/metrociencia/vol30/3/2022/75-84

  11. Quinaluisa Erazo CA, Veintimilla Pesantez BP, Vásquez Cevallos AV, Colcha Proaño GT. Diagnóstico y tratamiento divertículo de Meckel. Reciamuc [Internet]. 2020 [citado el 11de enero, 2024];4(1):212–9. DOI: 10.26820/reciamuc/4.(1).enero.2020.212-219

  12. Alejandro J, Ortíz S. Oclusión intestinal mecánica secundaria a hernia de Littré. Rev Cubana Cirugía [Internet]. 2022 [citado el 11 de enero, 2024];61(3):1-7. Disponible a partir de: https://pesquisa.bvsalud.org/portal/resource/pt/biblio-1441516

  13. Bains HK, Agostinho N, Hamilton AE, Byrne C. What is in the sac? Littré hernia. ANZ J Surg [Internet]. 2020 [citado el 11 enero 2024];90(5):896–8. DOI: 10.1111/ans.15353

  14. Zyluk A. Management of incidentally discovered unaffected Meckel’s diverticulum – a review. Polish J Surg [Internet]. 2019 [citado el 11 enero 2024];91(6):41–46. DOI: 10.5604/01.3001.0013.3400

  15. Nilsson E, Olsson S, Polistena A, Ali A, Dedey F, Avenia N, et al. An alternative management of a Littré hernia case: food for thought. G Chir [Internet]. 2019 [citado el 11 enero 2024];40(4):360-3. Disponible a partir de: https://journals.lww.com/jisa/Fulltext/2019/07000/An_alternative_management_of_a_Littr__hernia_case_.18.aspx

  16. Bouhout T, Serji B, Egyir EU, El Amri B, Bouhout I, Soufi M, et al. An unusual complication of Meckel’s diverticulum: Littre’s hernia. Pan Afr Med J [Internet]. 2018 [citado el 11 enero 2024];31:243. DOI: 10.11604/pamj.2018.31.243.10740

  17. Janez J. Littre Hernia - An Occasional Cause Of Acute Abdomen. Biomed J Sci Tech Res [Internet]. 2018 [citado el 11 enero 2024];2(2):2496-2497. DOI: 10.26717/bjstr.2018.02.000725

  18. Charles J. Shackelfors Surgery of the Alimentary Tract. Eighth edi. Elsevier; 2019. pp 910-913

  19. Essobiyou TB, Pali E, Keheou AP, Issa M, Dosseh ED. Unusual form of inguinal hernia: A case report of Littré’s hernia strangled. Int J Surg Case Rep [Internet]. 2022 [citado el 11 enero 2024];98:107570. DOI: 10.1016/j.ijscr.2022.107570

  20. Tartaglia D, Cremonini C, Strambi S, Ginesini M, Biloslavo A, Paiano L, et al. Incidentally discovered Meckel’s diverticulum: should I stay or should I go? ANZ J Surg [Internet]. 2020 [citado el 11 enero 2024];90(9):1694–9. DOI: 10.1111/ans.16189

  21. Evola G, Piazzese E, Bonanno S, Di Stefano C, Di Fede GF, Piazza L. Complicated Littre’s umbilical hernia with normal Meckel’s diverticulum: A case report and review of the literature. Int J Surg Case Rep [Internet]. 2021 [citado el 11 enero 2024];84:106126. DOI: 10.1016/j.ijscr.2021.106126

  22. Usman A, Rashid MH, Ghaffar U, Farooque U, Shabbir A. Littré’s Hernia: A Rare Intraoperative Finding. Cureus [Internet]. 2020 [citado el 11 enero 2024];12(10):10–3. DOI: 10.7759/cureus.11065

  23. Birindelli A, Sartelli M, Di Saverio S, Coccolini F, Ansaloni L, van Ramshorst GH, et al. 2017 update of the WSES guidelines for emergency repair of complicated abdominal wall hernias. World J Emerg Surg [Internet]. 2017 [citado el 11 enero 2024];12:37. DOI: 10.1186/s13017-017-0149-y

  24. Ghorishi A, Levin N, Rajalingam K, Sanchez D. Littre’s hernia: a case report of a rare intraoperative finding. Ann Laparosc Endosc Surg [Internet]. 2023 [citado el 11 enero 2024];8:13. DOI: 10.21037/ales-22-45

  25. Núñez Cámara M, Núñez Monar H. Hernia femoral de Littré estrangulada.Reporte de caso clínico. Rev Chil Cir[Internet]. 2017 [citado el 11 de enero, 2024];69(6):495–7. DOI: 10.1016/j.rchic.2016.11.008

  26. Ariyoshi Y, Suto T, Umemura A, Fujiwara H, Yanari S, Uesugi N, et al. Two-stage laparoscopic surgery for incarcerated umbilical Littre’s hernia in severely obese patient: a case report. Surg Case Reports [Internet]. 2020 [citado el 11 enero 2024];6(1):245. DOI: 10.1186/s40792-020-01008-3

  27. Seok D, Akrawe S, Mittal V. Case Report Littre ’ s hernia — a reason for resection. J Surg Case Rep [Internet]. 2023 [citado el 11 enero 2024];1. DOI: 10.1093/jscr/rjac617

  28. Bona D, Schipani LS, Nencioni M, Rubino B, Bonavina L. Laparoscopic resection for incidentally detected Meckel diverticulum. World J Gastroenterol [Internet]. 2008 [citado el 11 enero 2024];14(31):4961–3. DOI: 10.3748/wjg.14.4961

  29. Stone PA, Hofeldt MJ, Campbell JE, Vedula G, DeLuca JA, Flaherty SK. Meckel diverticulum: Ten-year experience in adults. South Med J [Internet]. 2004 [citado el 11 enero 2024];97(11):1038–41. DOI: 10.1097/01.SMJ.0000125222.90696.0

  30. Rahmat S, Sangle P, Sandhu O, Aftab Z, Khan S. Does an Incidental Meckel’s Diverticulum Warrant Resection? Cureus [Internet]. 2020 [citado el 11 enero 2024];12(9).e10307. DOI: 10.7759/cureus.10307

  31. Sánchez Portela CA, Díaz Martínez J, Lizano MA, Sosa Hernández R, Ramos WR. Persistencia del conducto onfalomesentérico. Presentación de un caso Persistent Onphalomesenteric duct: A case report. Rev Ciencias Médicas [Internet]. 2005 [citado el 11 deenero, 2024];9(1). Disponible a partir de:http://scielo.sld.cu/pdf/rpr/v9n1/rpr11105.pdf

  32. Méndez-García C, Suárez-Grau JM, Rubio-Chaves C, Martín-Cartes JA, Docobo-Durántez F, Padillo-Ruiz J. Surgical pathology associated with meckel’s diverticulum in a tertiary hospital: 12 year review. Rev Esp Enfermedades Dig [Internet]. 2011 [citado el 11 enero 2024];103(5):250–4. DOI: 10.4321/S1130-01082011000500005

  33. Grapin C, Bonnard A, Helardot P-G. Cirugía del divertículo de Meckel. EMC - Técnicas Quirúrgicas - Apar Dig [Internet]. 2006 [citado el 11 de enero, 2024];22(1):1–6. DOI: 10.1016/S1282-9129(06)45309-5




2020     |     www.medigraphic.com