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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
PubMed
Abstract

Insights

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.
Keywords:
Littre's herniaMeckel's diverticulumVitelline duct

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