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A large incarcerated Meckel's diverticulum in an inguinal hernia
Michael J Horkoff1, Nathan G Chan Smyth1, James M Hunter2
1Faculty of Medicine, University of British Columbia, 317-2194 Health Sciences Mall, Vancouver, BC, Canada V6T 1Z3.
International Journal of Surgery Case Reports
|December 3, 2014
Summary
Littre
Area of Science:
- Gastroenterology
- Surgical Case Report
Background:
- Littre's hernia is a rare condition where a Meckel's diverticulum is found within a hernia sac.
- It is clinically similar to other hernias involving the small intestine, making preoperative diagnosis challenging.
Purpose of the Study:
- To report a case of Littre's hernia involving a large Meckel's diverticulum.
- To highlight the surgical approach and outcomes for this rare condition.
Main Methods:
- A case of inguinal hernia with a 15cm Meckel's diverticulum is presented.
- The diverticulum was surgically resected using a linear GI stapler.
- The hernia defect was subsequently repaired without complications.
Main Results:
- Successful resection of a large Meckel's diverticulum.
- Uncomplicated repair of the inguinal hernia.
Conclusions:
- Meckel's diverticulum, an embryologic remnant, occurs in 1-3% of adults and can lead to complications like herniation.
- Surgical resection of symptomatic Meckel's diverticulum, including in Littre's hernia, is recommended.
- Resection of the diverticulum followed by standard hernia repair is crucial to prevent recurrence.
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