Littré’s hernia, a rare cause of intestinal obstruction: case report
DOI:
https://doi.org/10.18203/2349-2902.isj20253031Keywords:
Littre's hernia, Meckel's diverticulum, Umbilical hernia, Incarcerated hernia, Intestinal obstruction, Case reportAbstract
Littre's hernia is a rare condition in which a Meckel's diverticulum is found within a hernia sac, and it is an uncommon cause of intestinal obstruction. Preoperative diagnosis is challenging, and there is currently no consensus on optimal surgical management. Authors report the case of a 45-year-old Latin American woman who presented with intestinal obstruction due to an incarcerated umbilical hernia. Surgical exploration revealed a Littre’s hernia, which was managed with stapled diverticulectomy without complications. The patient had an uneventful postoperative course.
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References
Racareanu M, Preda S, Preda A, Strâmbu V, Radu P, Bratiloveanu T, et al. Management of Littre hernia—case report and systematic review of case reports. J Clin Med. 2023;12:3743. DOI: https://doi.org/10.3390/jcm12113743
Hansen C, Søreide K. Systematic review of epidemiology, presentation, and management of Meckel’s diverticulum in the 21st century. Medicine (Baltimore). 2018;97:12154. DOI: https://doi.org/10.1097/MD.0000000000012154
Lindeman R, Søreide K. The many faces of Meckel’s diverticulum: update on management in incidental and symptomatic patients. Curr Gastroenterol Rep. 2020;22:3. 10.1007/s11894-019-0742-1 DOI: https://doi.org/10.1007/s11894-019-0742-1
Blouhos K, Boulas K, Tsalis K, Barettas N, Paraskeva A, Kariotis I, et al. Meckel’s diverticulum in adults: surgical concerns. Front Surg. 2018;5:55. DOI: https://doi.org/10.3389/fsurg.2018.00055
Ezekian B, Leraas H, Englum B, Gilmore B, Reed C, Fitzgerald T, et al. Outcomes of laparoscopic resection of Meckel’s diverticulum are equivalent to open laparotomy. J Pediatr Surg. 2019;54:507-10. DOI: https://doi.org/10.1016/j.jpedsurg.2018.03.010
Skertich N, Ingram M, Grunvald M, Williams M, Ritz E, Shah A, et al. Outcomes of laparoscopic versus open resection of Meckel’s diverticulum. J Surg Res. 2021;264:362-7. DOI: https://doi.org/10.1016/j.jss.2021.02.028
Agha R, Fowler A, Saeta A, Barai I, Rajmohan S, Orgill D, et al. The SCARE statement: consensus-based surgical case report guidelines. Int J Surg. 2016;34:180-6. DOI: https://doi.org/10.1016/j.ijsu.2016.08.014
Littre A. Observation sur une nouvelle espèce de hernie. Mémoires de mathématique et de physique de l’Académie Royale des Sciences. 1700;2:300-10.
Sagar J, Kumar V, Shah D. Meckel’s diverticulum: a systematic review. J R Soc Med. 2006;99:501-5. DOI: https://doi.org/10.1177/014107680609901011
Celebi S, Ozaydin S, Polat E, Basdas C, Alim E, Sander S. Vitelline duct pathologies in neonates. North Clin Istanb. 2018;5:211-5. DOI: https://doi.org/10.14744/nci.2017.60590
Fusco J, Achey M, Upperman J. Meckel’s diverticulum: evaluation and management. Semin Pediatr Surg. 2022;31:151142. DOI: https://doi.org/10.1016/j.sempedsurg.2022.151142
Tree K, Kotecha K, Reeves J, Aitchison L, Chui J, Gill A, et al. Meckel’s diverticulectomy: a multi-centre 19-year retrospective study. ANZ J Surg. 2023;93:1280-6. DOI: https://doi.org/10.1111/ans.18351
Aboughalia H, Cheeney S, Elojeimy S, Blacklock L, Parisi M. Meckel diverticulum scintigraphy: technique, findings and diagnostic pitfalls. Pediatr Radiol. 2023;53:493-508. DOI: https://doi.org/10.1007/s00247-022-05527-z
Zani A, Eaton S, Rees C, Pierro A. Incidentally detected meckel diverticulum: to resect or not to resect. Ann Surg. 2008;247:276-81. DOI: https://doi.org/10.1097/SLA.0b013e31815aaaf8
Schizas D, Katsaros I, Tsapralis D, Moris D, Michalinos A, Tsilimigras D, et al. Littre’s hernia: a systematic review of the literature. Hernia. 2019;23:125-30. DOI: https://doi.org/10.1007/s10029-018-1867-0
Prakash S, Sunil J, Shivakumar M, Shaikh O, Balasubramanian G. Incidental Meckel’s diverticulum in umbilical hernia. Cureus. 2023;15:41115. DOI: https://doi.org/10.7759/cureus.41115