Obstructed Inguinal Littre’s Hernia: A Case Report and Mini Review
Published: 2023-11-02
Page: 298-302
Issue: 2023 - Volume 6 [Issue 2]
Sopan N. Jatal *
Jatal Hospital and Research Centre, MIMSR Medical College, Latur, India.
Sudhir Jatal
Jatal Hospital and Research Centre, Latur, Tata Hospital, Mumbai, India.
Sachin Ingle
Department of Pathology, MIMSR Medical College, Latur, India.
*Author to whom correspondence should be addressed.
Abstract
Meckel diverticulum is the most common congenital anomaly of the gastrointestinal tract. Any hernia sacs containing Meckel’s diverticulum is called Littre’s hernia. This term was coined after the pioneering work of Alexis Littre, a French surgeon, who, in the 1700s, documented three instances of femoral hernias containing a small bowel diverticulum. Since then, hernias encompassing Meckel's diverticulum have been designated as Littre's hernias. It's a relatively rare variation, making up approximately 10% of all complications associated with Meckel's diverticulum. Among Littre's hernias, around 50% occur in the inguinal region, 20% in the femoral region, 20% in the umbilical region, and the remaining 10% in other locations. Due to its infrequent occurrence, Littre's hernia is usually not suspected, and preoperative diagnosis is unlikely.
We would like to present a unique case involving a 20-year-old boy with an incarcerated Littre's hernia in the right inguinal region, which was effectively managed through wedge resection of the Meckel's diverticulum followed by hernia repair.
Keywords: Littre’s hernia, meckel’s diverticulum, intestinal obstruction
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References
Schizas D, Katsaros I, Tsapralis D, Moris D, Michalinos A, Tsilimigras DI, et al. Littre's hernia: A systematic review of the literature. Hernia. 2019 Feb;23(1):125- 130. DOI: 10.1007/s10029-018-1867-0 Epub 2018 Dec 1. PMID: 30506463.
Usman A, Rashid MH, Ghaffar U, Farooque U, Shabbir A. Littré's Hernia: A Rare Intraoperative Finding. Cureus. 2020 Oct 20;12(10):e11065. DOI: 10.7759/cureus.11065 PMID: 33224659; PMCID: PMC7676821.
Ali Bendjaballah, Moustafa A. El Taieb, S. Ammari, Khiali R. Littre’s Hernia: A Unusual Tricky Situation of Meckel’s Diverticulum; 2019.
Rattan KN, Bansal S, Arora I, Dhamija A, Tanwar M. Right Inguinal Obstructed Littre's Hernia in a Child. J Nepal Paediatr Soc 2016;36(3):300-302.
Henry G. Mishalany, Robert Pereyra, Jerrold K. Longerbeam, Littre's Hernia in infancy presenting as undescended testicle, Journal of Paediatric Surgery. 1982;17(1):67-69.
ISSN 0022-3468.
Skandalakis PN, Zoras O, Skandalakis JE, Mirilas P. Littre hernia: Surgical anatomy, embryology, and technique of repair. Am Surg. 2006 Mar;72(3):238- 43. PMID: 16553126
Arzu Pampal, Elif Demirci Aksakal 1 Littre’s hernia in childhood: A case report with
a brief review of the literature. DOI:10.4103/0189-6725.86068 PMID: 22005371.
Narendra D. Kulkarni 1 Geet Adhikari 2 Gauri S. Jadhav Obstructed Inguinal Littre’s Hernia: A Vague Available:https://doi.org/10.1055/s-0042-1755179
Farris S, Fernbach S: Axial torsion of Meckel's diverticulum presenting as a pelvic mass. Pediatr Radiol. 2001;31:886-888. DOI: 10.1007/s002470100013.
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. 2023;12: 3743. Available:https://doi.org/10.3390/jcm12113743
Sagar J, Kumar V, Shah DK. Meckel's diverticulum: A systematic review. J R Soc Med. 2006;99:501-505. DOI: 10.1258/jrsm.99.10.501