scholarly journals Incarcerated Meckel’s Diverticulum (Littre Hernia): A Rare Cause of Unexpected Death

2021 ◽  
Vol 45 (2) ◽  
pp. 69-71
Author(s):  
Taehwa Baek
Keyword(s):  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Unexpected Death ◽  
Littre Hernia

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 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.

Littre hernia—Incarcerated Meckel's diverticulum

1962 ◽  
Vol 103 (1) ◽  
pp. 144-145 ◽  
Author(s):  
Thomas M. Dunn ◽  
Wolfgang H. Markgraf
Keyword(s):  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Littre Hernia

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 A Case of Littre Hernia with Incarcerated Femoral Hernia with Meckel's Diverticulum

2020 ◽  
Vol 81 (11) ◽  
pp. 2367-2371
Author(s):  
Ryoichiro KOBAYASHI ◽  
Junichi YOSHIZAWA ◽  
Kiyotaka HOSODA ◽  
Kentaro FUKUSHIMA ◽  
Ataru NAKAYAMA
Keyword(s):  
Femoral Hernia ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Littre Hernia

Ultrastructure of the Omphalomesenteric Duct Rest in the Umbilical Cord at Term

1982 ◽  
Vol 40 ◽  
pp. 250-251
Author(s):  
B. A. Clark ◽  
T. Okagaki
Keyword(s):  
Umbilical Cord ◽  
Umbilical Vein ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Columnar Epithelium ◽  
Omphalomesenteric Duct ◽  
Umbilical Arteries

Vestiges of the omphalomesenteric or vitello-intestinal duct and the pathologic implications attributed to these remnants have been treated in great detail by several investigators. Persistence of the omphalomesenteric duct is associated with such conditions as Meckel's diverticulum, umbilical fistula, mucosal polyps, and sinuses or cysts of the umbilicus. Remnants of the duct in the umbilical cord, although infrequent, are located outside of the triangle formed by the two umbilical arteries and the umbilical vein, are usually discontinuous and are often represented by a small lumen lined by cuboidal or columnar epithelium. This study will examine the ultrastructure of these cells.

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