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Littre's hernia in children

Avilash Sahu1, Deepti Naik1, Srikanth Chinthala1

  • 1Pediatric Surgery, All India Institute of Medical Sciences - Bhubaneswar, Bhubaneswar, Orissa, India.

BMJ Case Reports
|November 8, 2024
PubMed

Insights

Littre's hernia, a rare complication of Meckel's diverticulum, involves the diverticulum herniating into an inguinal sac. This case report details the successful surgical management of a strangulated Littre's hernia in a child.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery
  • Congenital Anomalies

Background:

  • Meckel's diverticulum is a common congenital gastrointestinal anomaly, often asymptomatic.
  • Littre's hernia, a rare complication, occurs when Meckel's diverticulum herniates into a hernial sac.
  • Preoperative diagnosis of Littre's hernia is challenging, with high risks of strangulation, incarceration, and perforation.

Purpose of the Study:

  • To report a case of successful surgical management of a strangulated Littre's hernia in a pediatric patient.
  • To review the literature on Littre's hernia in children.
  • To highlight the diagnostic challenges and management strategies for this rare condition.

Main Methods:

  • Case report of a pediatric patient with an irreducible and strangulated right inguinal hernia.
  • Surgical exploration and management of the hernia.
  • Comprehensive literature review using Google Scholar and PubMed for pediatric Littre's hernia cases.

Main Results:

  • Successful surgical correction of a strangulated Littre's hernia in a young boy.
  • Identification of key clinical features and management outcomes from the literature review.
  • Confirmation that strangulation and necrosis are significant risks associated with Littre's hernia.

Conclusions:

  • Littre's hernia requires prompt surgical intervention due to the high risk of complications.
  • Early diagnosis and surgical management are crucial for favorable outcomes in pediatric cases.
  • This case underscores the importance of considering Meckel's diverticulum in the differential diagnosis of pediatric inguinal hernias, especially when strangulated.

Keywords:
Congenital disordersInfant healthPaediatric Surgery

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