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Related Experiment Video

Updated: Jun 8, 2025

Quantification of Levator Ani Hiatus Enlargement by Magnetic Resonance Imaging in Males and Females with Pelvic Organ Prolapse

Quantification of Levator Ani Hiatus Enlargement by Magnetic Resonance Imaging in Males and Females with Pelvic Organ Prolapse

Published on: April 17, 2019

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

Summary

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.

Keywords:

Congenital disorders Infant health Paediatric Surgery

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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.