scholarly journals Littré’s hernia: a rare complication of Meckel’s diverticulum

2017 ◽  
Vol 4 (4) ◽  
pp. 1481 ◽  
Author(s):  
Prakash Kumar Sahoo ◽  
Suman Saurav Rout
Keyword(s):  
Congenital Anomaly ◽  
Inguinal Hernia ◽  
Umbilical Hernia ◽  
Rare Complication ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Unusual Complication ◽  
Hernia Sac ◽  
Littre’S Hernia ◽  
Littre Hernia

Littré’s hernia is caused by the protrusion of Meckel’s diverticulum through an orifice in the abdominal wall. Meckel’s diverticulum is the most common congenital anomaly of the gastrointestinal tract that is generally asymptomatic and only manifests in a specific way when complications exist. An unusual complication of Meckel’s diverticulum is known as Littre’s hernia. It comprises less than 1% of all Meckel’s diverticulum. Usual sites of Littre hernia are right inguinal (50% of cases), umbilical hernia (20%), and femoral hernia (20%). We present a case of Littré’s hernia where we found a strangulated Meckel’s diverticulum in an inguinal hernia sac.

scholarly journals EP.FRI.452 Complicated Littre Hernias

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Mariana Matias ◽  
Madara Kronberga ◽  
Assad Aghahoseini
Keyword(s):  
Literature Review ◽  
Umbilical Hernia ◽  
Rare Complication ◽  
Meckel’S Diverticulum ◽  
Delayed Diagnosis ◽  
Meckel's Diverticulum ◽  
Hernia Sac ◽  
Wide Range ◽  
Symptoms And Signs ◽  
Littre Hernia

Abstract Background Meckel’s diverticulum is the most prevalent congenital anomaly of the gastrointestinal tract with an estimated prevalence ranging from 2% to 4%. The diverticulum is a remnant of the vitelline duct, which leads to the formation of a true diverticulum containing all the layers of the small intestine. The condition is usually clinically silent; however, it can present with unusual symptoms and signs and therefore can result in a delayed diagnosis, particularly in adults.  The aim of this study is to review the most recent literature reporting Littre hernias in adults, the diagnostic approach and its subsequent management.  This is a literature review, complemented by unusual clinical case of an adult patient who presented with a Littre hernia containing a Meckel’s diverticulum in a strangulated umbilical hernia sac, which required emergency surgery. Method Literature review using Web of science, PubMed and other reliable sources using the possible combinations of the following key words: Meckel’s diverticulum, Littre hernia, umbilical hernia, adults, complications, surgical treatment. Results The herniation of a Meckel’s diverticulum through a potential opening in the abdominal wall is defined as a Littre hernia, representing a rare complication of the diverticula. Due to their rarity, they often remain underdiagnosed, potentially leading to sub-optimal treatment and significant morbidity. Conclusion A Meckel’s diverticulum, despite being a rare clinical entity in adults, can theoretically be found in any hernia, with patients experiencing a wide range of potential complications.

scholarly journals Right Inguinal Obstructed Littre's Hernia in a Child

2017 ◽  
Vol 36 (3) ◽  
pp. 300-302
Author(s):  
Kamal Nain Rattan ◽  
Shruti Bansal ◽  
Ishani Arora ◽  
Aastha Dhamija ◽  
Manpreet Tanwar
Keyword(s):  
Meckel’S Diverticulum ◽  
Paediatric Population ◽  
Meckel's Diverticulum ◽  
Male Child ◽  
Inguinal Region ◽  
Hernia Sac ◽  
Littre’S Hernia ◽  
Littre Hernia

Littre’s hernia, in which the hernia sac contains a Meckel’s diverticulum, is extremely uncommon in paediatric population. We are reporting a case of Littre hernia in a 4.5 year old male child who presented with an irreducible mass in right inguinal region. The diagnosis was made peroperatively. The patient was successfully managed by diverticulectomy and herniotomy and is doing well in follow up.J Nepal Paediatr Soc 2016;36(3):300-302

scholarly journals Littre Hernia: A Rare Case of an Incarcerated Meckel’s Diverticulum

2017 ◽  
Vol 03 (02) ◽  
pp. E91-E92 ◽  
Author(s):  
Brian Malling ◽  
Andreas Karlsen ◽  
Jesper Hern
Keyword(s):  
Congenital Anomaly ◽  
Small Intestine ◽  
Rare Case ◽  
Meckel’S Diverticulum ◽  
Pancreatic Tissue ◽  
Meckel's Diverticulum ◽  
Ectopic Gastric Mucosa ◽  
Common Complication ◽  
Vitelline Duct ◽  
Littre Hernia

A Meckel’s diverticulum is a remnant of the vitelline duct, which leads to the formation of a true diverticulum containing all layers of the small intestine. The diverticulum can contain ectopic gastric, duodenal or pancreatic tissue and is the most common congenital anomaly of the gastrointestinal tract with estimates of prevalence ranging from 0.3% to 3%. The condition is usually clinically silent. In children the most common complication is gastrointestinal bleeding caused by ulceration due to the acid secretion by ectopic gastric mucosa.

scholarly journals A Rare Case of Acquired Transthoracic Littre's Hernia

2019 ◽  
Vol 05 (04) ◽  
pp. e150-e153
Author(s):  
Arthur Curmi ◽  
Anthony P. Dimech ◽  
Rebecca Dalli ◽  
Ayman Mostafa ◽  
Joseph Debono
Keyword(s):  
Motor Vehicle ◽  
Meckel’S Diverticulum ◽  
Lower Abdominal Pain ◽  
Rib Fractures ◽  
Meckel's Diverticulum ◽  
First Case ◽  
History Of ◽  
Littre’S Hernia ◽  
The Right ◽  
Littre Hernia

Abstract Introduction The Littre hernia is a rare complication of Meckel's diverticulum. Meckel's diverticulum is vestigial remnant of the omphalomesenteric duct occurring in approximately 2% of the general population with an estimated 4 to 16% risk of complications. Usual sites of the Littre hernia include inguinal (50%), umbilical (20%), and femoral (20%). We report a case of an acquired transthoracic Littre's hernia occurring through the left part of the diaphragm triggered by a history of traumatic rib fractures associated with alcohol abuse. Case Report A 71-year-old man presented with 4-day history of worsening shortness of breath, colicky lower abdominal pain, and inability to open bowels despite passing flatus, without nausea or vomiting. His past medical history was remarkable for multiple traumatic rib fractures caused by falls which were associated with excessive alcohol consumption. A noncontrast computed tomography (CT) scan of the abdomen and pelvis showed distended jejunal loops containing air/fluid levels likely resulting from herniated jejunum between the left chest wall and left diaphragm. An urgent laparotomy was performed which revealed small bowel and omentum herniating through a small defect in the left posterior hemidiaphragm. The contents of the sac were reduced and a Meckel's diverticulum was found inside the sac, characteristic of Littre's hernia. The diaphragmatic defect was closed and the Meckel diverticulum stapled and excised. Discussion Herniation of Meckel's diverticulum through the diaphragm most commonly occurs in the pediatric population. Acquired transthoracic Littre's hernia is rare and may arise following thoracobdominal trauma caused by surgery, motor vehicle accidents, and falls from height. Left-diaphragmatic tears are characteristically more clinically apparent and symptomatic than the right since the liver often has a protective effect on the right part of the diaphragm. Herniation of abdominal contents in the chest cavity causes respiratory distress and requires urgent surgical correction. Diagnosis is often delayed since diaphragmatic hernia tends to present very late after the initial trauma, subjecting the patient to possible life-threatening complications. While it is easier to reduce the herniated contents and repair the diaphragm via a thoracic approach, laparotomy is often preferred in cases of acute trauma associated with intra-abdominal injuries. Repair of Littre's hernia then consists of resection of the diverticulum and herniorraphy. Conclusion Internal Littre's hernia is usually of congenital origin. This is the first case of a transthoracic Littre's hernia caused by traumatic rib fractures. Hence, it is of utter importance that a clinician is aware of such uncommon pathology.

scholarly journals An extremely rare complication of Meckel's diverticulum: enterocutaneous fistulization of umbilical hernia

2015 ◽  
Vol 28 (2) ◽  
pp. 152-153 ◽  
Author(s):  
Oztekin CIKMAN ◽  
Hasan Ali KİRAZ ◽  
Omer Faruk OZKAN ◽  
Gurhan ADAM ◽  
Ahmet CELİK ◽  
...  
Keyword(s):  
Umbilical Hernia ◽  
Rare Complication ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum

scholarly journals Perforated Incisional Littre’s Hernia: A Rare Content of a Common Hernia

2020 ◽  
Vol 15 (2) ◽  
Author(s):  
Kumarappan Al ◽  
Norly S ◽  
Samuel Tay ◽  
Vicknesh C
Keyword(s):  
Risk Factors ◽  
Small Bowel ◽  
Incisional Hernia ◽  
Intestinal Obstruction ◽  
Meckel’S Diverticulum ◽  
Male Gender ◽  
Meckel's Diverticulum ◽  
Hernia Sac ◽  
Ventral Incisional Hernia ◽  
Littre’S Hernia

Anticipation of complications is of paramount importance for a surgeon. Incisional hernia is a well-known complication for abdominal surgeries. Risk factors such as increasing age, obesity, male gender are well known. Intestinal obstruction, strangulation and perforation are imminent complications of this type of hernia if they become incarcerated. Common contents of a ventral incisional hernia are small bowel, large bowel and omentum. Even though Meckel’s diverticulum is a common gastrointestinal anomaly, it is rarely found to be the content of a hernial sac. A hernia sac containing Meckel’s diverticulum is also known as Littre’s hernia. Only a few cases have been reported in the literature. Thus here we present a case of perforated Meckel’s diverticulum that was entrapped in the ventral incisional hernia.

scholarly journals Intestinal obstruction due to incarcerated Meckel’s diverticulum (Littre’s hernia)

2019 ◽  
pp. 1-2
Author(s):  
Soledad Aguado Henche ◽  
Hernández Fernández L.M ◽  
Slocker de Arce A ◽  
Díaz Pedrero R
Keyword(s):  
Inguinal Hernia ◽  
Gastrointestinal Tract ◽  
Intestinal Obstruction ◽  
Surgical Resection ◽  
Femoral Hernia ◽  
Meckel’S Diverticulum ◽  
Vascular Complications ◽  
Meckel's Diverticulum ◽  
Very Old ◽  
Littre’S Hernia

Meckel's diverticulum it is the most common malformation of the gastrointestinal tract. Femoral hernia is the second most common inguinal hernia, and is characterized by incarceration and strangulation. We present a case of 90-year-old woman wiht strangulation of Meckel’s diverticulum in a left-sided femoral hernia. The diverticulum was resected and hernia was repared wihtout complications. A Littre’s hernia is a complication of Meckel’s diverticulum and it is a result of its protrusion through a herniary orifice. Surgical resection is recommended for this type of hernia due to possible vascular complications, intestinal obstruction and herniation. Although usually Littre’s hernia appears in the early ages of the life, we must not ignore their possible appearance in people who are aged. We present in this case a Littre’s hernia in a very old woman.

scholarly journals Two-stage laparoscopic surgery for incarcerated umbilical Littre’s hernia in severely obese patient: a case report

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Yu Ariyoshi ◽  
Takayuki Suto ◽  
Akira Umemura ◽  
Hisataka Fujiwara ◽  
Shingo Yanari ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Hernia Repair ◽  
Obese Patient ◽  
Umbilical Hernia ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Two Stage ◽  
Umbilical Hernia Repair ◽  
Severely Obese ◽  
Littre’S Hernia

Abstract Background Littre's hernia containing Meckel's diverticulum is an extremely rare disease. We report an adult case of two-stage laparoscopic surgery for incarceration of Meckel's diverticulum in an umbilical hernia. Case presentation The case involved a 23-year-old, severely obese man with BMI 36.5 kg/m2. After experiencing effusion from the umbilicus for 2 months, and was referred from a local dermatologist. We diagnosed an infected urachal remnant, and antibiotic therapy was performed first. Surgery was planned for after the infection disappeared. During follow-up, effusion from the umbilicus took on an intestinal fluid-like character, so we diagnosed small intestinal cutaneous fistula and performed surgery. Under laparoscopy, we found a Meckel's diverticulum incarcerated in an umbilical hernia. The diverticulum was resected first, and the incarceration was released. The umbilicus was infected, so we planned repair of the umbilical hernia in a second surgery. The postoperative course was uneventful and the patient was discharged on postoperative day 5. One month after the initial operation, we confirmed that there were no signs of infection, and performed umbilical hernia repair using the laparoscopic intraperitoneal onlay mesh (IPOM) repair. Postoperative progress was uneventful and he was discharged on postoperative day 4. No recurrence or infection was observed until 8 months postoperatively. Conclusions We performed dissection of the diverticulum and umbilical hernia repair for the incarcerated umbilical Littre's hernia under laparoscopy in a severely obese patient. The risk of mesh infection seems to be avoidable using a two-stage surgery, and the risk of recurrence can be reduced using the IPOM repair compared with simple suture closure.

scholarly journals PERFORATED MECKEL’S DIVERTICULUM IN A YOUNG MALE PATIENT: A CASE REPORT

2021 ◽  
Author(s):  
Umberto Tupputi ◽  
Francesca Anna Carpagnano ◽  
Rossella Carpentiere ◽  
Giuseppe Guglielmi
Keyword(s):  
Congenital Anomaly ◽  
Rare Complication ◽  
Meckel’S Diverticulum ◽  
Young Male ◽  
Tomographic Imaging ◽  
Meckel's Diverticulum ◽  
Imaging Features ◽  
Radiological Assessment ◽  
Long Time ◽  
Congenital Condition

In this article we report the case of a 26-year-old boy suffering from perforation of Meckel's diverticulum (MD), a rare complication of the most common congenital anomaly of the gastrointestinal tract (1). This congenital condition can remain asymptomatic for a long time and sometimes it can get complicated with diverticulitis, formation of enteroliths, neoplasms and rarely perforation as in this case. A preoperative radiological assessment is of fundamental importance for a correct diagnostic and therapeutic management of the patient. In this article we show the typical tomographic imaging features of this infrequent complication, in order to help radiologists in detecting it.

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