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>Journals >Cirugía y Cirujanos >Year 2012, Issue 2


Aláez-Chillarón AB, Ramiro-Pérez C, Rodríguez-Velasco G, Calero-Amaro A, Latorre-Fragua R, Díez-Tabernilla M
Littre´s hernia, an unusual cause of intestinal obstruction
Cir Cir 2012; 80 (2)

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

[Full text - PDF]

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.


Key words: Littre’s hernia, intestinal obstruction, Meckel diverticulum.


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.






>Journals >Cirugía y Cirujanos >Year 2012, Issue 2
 

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