Unusual form of inguinal hernia: A case report of Littré's hernia strangled
Tamassi Bertrand Essobiyou1, Essomondjona Pali2, Alexandre Palissam Keheou2
1General Surgery Department, Dapaong Regional Hospital Center, Dapaong, Togo.
Introduction:
Littré's hernia is a rare condition related to Meckel's diverticulum. Its diagnosis is per operative and its treatment is surgical. We report a case of Littre's hernia strangled, discovered in a 67-year-old adult in Togo.
Case Report:
A 67-year-old farmer was seen in the emergency room for a painful right inguinoscrotal swelling. The diagnosis of strangulated right inguinoscrotal hernia was retained and a surgical indication was given. Intraoperatively, a Meckel's diverticulum was found in the hernia sac and an intraoperative diagnosis of Littre's hernia was made. The patient underwent a T-shaped resection with terminal ileo-ileal anastomosis. The postoperative course was simple.
Conclusion:
Littré's hernia is a rare and exceptional disease whose preoperative diagnosis is difficult. Surgery is the therapeutic modality for this condition.
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