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Littré's Hernia: A Rare Intraoperative Finding.

Ahmad Usman1, Muhammad Humayoun Rashid2,3, Umar Ghaffar3

  • 1General Surgery, Nishtar Medical University and Hospital, Multan, PAK.

Cureus
|November 23, 2020
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Summary

Littré

Keywords:
littre's herniameckel's diverticulumobstructionstrangulation

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Area of Science:

  • Gastroenterology and Surgical Innovation

Background:

  • Littré's hernia (LH) is a rare condition involving Meckel's diverticulum (MD) within a hernial sac.
  • Meckel's diverticulum is the most common congenital intestinal anomaly, often asymptomatic but can cause complications.

Observation:

  • A 16-year-old male presented with an incarcerated Littré's hernia in the inguinal region.
  • Preoperative diagnosis of LH is challenging due to non-specific hernia symptoms.

Findings:

  • The case involved a rare complication of Meckel's diverticulum, occurring in only 1% of MD cases.
  • Successful surgical treatment was achieved through wedge resection of the diverticulum and subsequent hernia repair.

Implications:

  • This case highlights the importance of considering rare diagnoses in hernia presentations.
  • Effective surgical management of Littré's hernia can lead to favorable patient outcomes.