[Littré hernia: an unusual cause of intestinal obstruction
Ana Belén Aláez-Chillarón1, Carmen Ramiro-Pérez, Gloria Rodríguez-Velasco
1Departamento de Cirugía General y Aparato Digestivo del Hospital Universitario Ramón y Cajal de Madrid, Madrid, Spain. anabelenalaez@hotmail.com
Background:
Littre's hernia is the presence of a Meckel diverticulum within an orifice in the abdominal wall. There are few cases published in the literature and its frequency is not well described.
Clinical Case:
We present the case of a 74-year-old patient who arrived at the emergency service with clinical signs of intestinal obstruction caused by an incarcerated right inguinal hernia. Emergency surgery was performed using a preperitoneal approach. Within the hernia, 5 cm of small bowel containing a Meckel diverticulum was found. Therefore, we decided to extirpate the diverticulum and repair the hernia placing a polypropylene mesh.
Conclusions:
Meckel diverticulum is the persistence of the omphalomesenteric duct. It is usually asymptomatic, producing bleeding, infection or intestinal obstruction as the main symptoms.
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