Gastrointestinal perforation due to incarcerated Meckel's diverticulum in right femoral canal

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Yusuf Yagmur1, Sami Akbulut1, Mehmet Ali Can1

  • 1Yusuf Yagmur, Sami Akbulut, Mehmet Ali Can, Department of Surgery, Diyarbakir Education and Research Hospital, 21400 Diyarbakir, Turkey.

World Journal of Clinical Cases
|June 20, 2014
PubMed

Insights

Littre's hernia, a rare condition involving Meckel's diverticulum in a femoral hernia, can lead to serious complications like perforation. This case highlights successful surgical management of a perforated Littre's hernia.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Congenital Anomalies

Background:

  • Meckel's diverticulum is a common congenital gastrointestinal anomaly, often asymptomatic.
  • Littre's hernia, a rare variant, involves Meckel's diverticulum within a hernia sac, with femoral hernias being less common.
  • Complications include incarceration, strangulation, necrosis, and perforation, necessitating prompt diagnosis and management.

Observation:

  • A case of Littre's hernia presenting with symptoms of perforation is described.
  • The condition involved an incarcerated Meckel's diverticulum within a femoral hernia.
  • Diagnosis was made during the investigation of perforation-related symptoms.

Findings:

  • The patient presented with a perforated Littre's hernia.
  • Successful surgical management was achieved through resection of the involved Meckel's diverticulum and hernia repair.
  • Stapler devices were utilized for the resection, indicating a modern surgical approach.

Implications:

  • This case underscores the importance of considering Littre's hernia in the differential diagnosis of incarcerated femoral hernias, especially with signs of complications.
  • Prompt surgical intervention is crucial for favorable outcomes in perforated Littre's hernias.
  • The successful use of stapler devices demonstrates their efficacy in managing Meckel's diverticulum during hernia repair.
Keywords:
Gastrointestinal perforationIncarcerationLittre HerniaMeckel’s diverticulum

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