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Acute hemiscrotum due to inguinoscrotal Littre hernia: a case report
Murat Akin1, Osman Kurukahvecioglu, Tugan Tezcaner
1Department of General Surgery, Gazi University of Medical School, Ankara, Turkey. makin@gazi.edu.tr
Abstract:
Meckel diverticulum (MD) 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 MD is known as Littre hernia. It comprises less than 1% of all MD. Littre hernia is the protrusion of an MD through a potential abdominal opening. Usual sites of Littre hernia are right inguinal (50% of cases), umbilical hernia (20%), and femoral hernia (20%). We report a case of Littre hernia in a boy who presented with acute scrotal pain and swelling.
Insights
Littre hernia, a rare complication of Meckel diverticulum, occurs when the diverticulum protrudes through an abdominal opening. This case highlights a Littre hernia presenting as acute scrotal pain in a young boy.
Area of Science:
- Gastroenterology
- Pediatric Surgery
- Anatomical Abnormalities
Background:
- Meckel diverticulum (MD) is the most common congenital gastrointestinal anomaly, typically asymptomatic.
- Complications of MD are infrequent but can be severe.
- Littre hernia, a protrusion of MD through an abdominal defect, is a rare complication, accounting for less than 1% of all MD cases.
Observation:
- Littre hernia commonly occurs in the inguinal canal (50%), umbilical hernia (20%), or femoral hernia (20%).
- This report details an unusual presentation of Littre hernia.
- A pediatric patient presented with acute scrotal pain and swelling.
Findings:
- The patient's scrotal symptoms were attributed to a Littre hernia.
- This case underscores the varied clinical manifestations of Meckel diverticulum complications.
- The diagnosis was confirmed through clinical evaluation and likely imaging (details not provided in abstract).
Implications:
- This case expands the known spectrum of Littre hernia presentations.
- It emphasizes the importance of considering rare gastrointestinal anomalies in pediatric patients with unusual symptoms.
- Early recognition and management of Littre hernia are crucial to prevent potential complications.