scholarly journals Intestinal obstruction due to incarcerated Meckel’s diverticulum (Littre’s hernia)

2019 ◽  
pp. 1-2
Author(s):  
Soledad Aguado Henche ◽  
Hernández Fernández L.M ◽  
Slocker de Arce A ◽  
Díaz Pedrero R
Keyword(s):  
Inguinal Hernia ◽  
Gastrointestinal Tract ◽  
Intestinal Obstruction ◽  
Surgical Resection ◽  
Femoral Hernia ◽  
Meckel’S Diverticulum ◽  
Vascular Complications ◽  
Meckel's Diverticulum ◽  
Very Old ◽  
Littre’S Hernia

Meckel's diverticulum it is the most common malformation of the gastrointestinal tract. Femoral hernia is the second most common inguinal hernia, and is characterized by incarceration and strangulation. We present a case of 90-year-old woman wiht strangulation of Meckel’s diverticulum in a left-sided femoral hernia. The diverticulum was resected and hernia was repared wihtout complications. A Littre’s hernia is a complication of Meckel’s diverticulum and it is a result of its protrusion through a herniary orifice. Surgical resection is recommended for this type of hernia due to possible vascular complications, intestinal obstruction and herniation. Although usually Littre’s hernia appears in the early ages of the life, we must not ignore their possible appearance in people who are aged. We present in this case a Littre’s hernia in a very old woman.

scholarly journals Strangulation of a Meckel’s diverticulum in a femoral hernia (Littre’s hernia)

2014 ◽  
Vol 3 ◽  
pp. 172-174 ◽  
Author(s):  
Piotr Misiak ◽  
Łukasz Piskorz ◽  
Leszek Kutwin ◽  
Sławomir Jabłoński ◽  
Jacek Kordiak ◽  
...  
Keyword(s):  
Femoral Hernia ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Littre’S Hernia

scholarly journals Perforated Meckel’s Diverticulum Lithiasis: An Unusual Cause of Peritonitis

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Umasankar Mathuram Thiyagarajan ◽  
Amirthavarshini Ponnuswamy ◽  
Atul Bagul ◽  
Prabakar Ponnuswamy
Keyword(s):  
Gastrointestinal Tract ◽  
Small Bowel ◽  
Intestinal Obstruction ◽  
Acute Abdomen ◽  
Congenital Malformation ◽  
Healthy Individual ◽  
Stone Formation ◽  
Meckel’S Diverticulum ◽  
Exploratory Laparotomy ◽  
Meckel's Diverticulum

Meckel’s diverticulum is the commonest congenital malformation of gastrointestinal tract and represents a persistent remnant of the omphalomesenteric duct. Although it mostly remains silent, it can present as bleeding, perforation, intestinal obstruction, intussusception, and tumours. These complications, especially bleeding, tend to be more common in the paediatric group and intestinal obstruction in adults. Stone formation (lithiasis) in Meckel’s diverticulum is rare. We report a case of Meckel’s diverticulum lithiasis which presented as an acute abdomen in an otherwise healthy individual. The patient underwent an exploratory laparotomy which revealed a perforated Meckel’s diverticulum with lithiasis; a segmental resection with end-to-end anastomosis of small bowel was performed. Patient recovery was delayed due to pneumonia, discharged on day 20 with no further complications at 6 months following surgery.

scholarly journals Perforated Incisional Littre’s Hernia: A Rare Content of a Common Hernia

2020 ◽  
Vol 15 (2) ◽  
Author(s):  
Kumarappan Al ◽  
Norly S ◽  
Samuel Tay ◽  
Vicknesh C
Keyword(s):  
Risk Factors ◽  
Small Bowel ◽  
Incisional Hernia ◽  
Intestinal Obstruction ◽  
Meckel’S Diverticulum ◽  
Male Gender ◽  
Meckel's Diverticulum ◽  
Hernia Sac ◽  
Ventral Incisional Hernia ◽  
Littre’S Hernia

Anticipation of complications is of paramount importance for a surgeon. Incisional hernia is a well-known complication for abdominal surgeries. Risk factors such as increasing age, obesity, male gender are well known. Intestinal obstruction, strangulation and perforation are imminent complications of this type of hernia if they become incarcerated. Common contents of a ventral incisional hernia are small bowel, large bowel and omentum. Even though Meckel’s diverticulum is a common gastrointestinal anomaly, it is rarely found to be the content of a hernial sac. A hernia sac containing Meckel’s diverticulum is also known as Littre’s hernia. Only a few cases have been reported in the literature. Thus here we present a case of perforated Meckel’s diverticulum that was entrapped in the ventral incisional hernia.

scholarly journals Littré’s hernia: a rare complication of Meckel’s diverticulum

2017 ◽  
Vol 4 (4) ◽  
pp. 1481 ◽  
Author(s):  
Prakash Kumar Sahoo ◽  
Suman Saurav Rout
Keyword(s):  
Congenital Anomaly ◽  
Inguinal Hernia ◽  
Umbilical Hernia ◽  
Rare Complication ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Unusual Complication ◽  
Hernia Sac ◽  
Littre’S Hernia ◽  
Littre Hernia

Littré’s hernia is caused by the protrusion of Meckel’s diverticulum through an orifice in the abdominal wall. Meckel’s diverticulum is the most common congenital anomaly of the gastrointestinal tract that is generally asymptomatic and only manifests in a specific way when complications exist. An unusual complication of Meckel’s diverticulum is known as Littre’s hernia. It comprises less than 1% of all Meckel’s diverticulum. Usual sites of Littre hernia are right inguinal (50% of cases), umbilical hernia (20%), and femoral hernia (20%). We present a case of Littré’s hernia where we found a strangulated Meckel’s diverticulum in an inguinal hernia sac.

Congenital abnormalities of the gastrointestinal tract

2020 ◽  
pp. 2967-2976
Author(s):  
Holm H. Uhlig
Keyword(s):  
Gastrointestinal Tract ◽  
Intestinal Obstruction ◽  
Congenital Abnormalities ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Genetic Defects ◽  
Abdominal Wall Defects ◽  
Intestinal Lymphangiectasia ◽  
Structural Abnormalities ◽  
Small Intestinal

Congenital abnormalities of the gastrointestinal tract can be divided into macroscopic anatomical abnormalities and monogenically determined, high-penetrance functional defects that present either directly postnatally or during the first few months of life. On occasion, symptoms may be delayed for months or years even in patients with substantial anatomical defects. Anatomical and structural abnormalities can affect any part of the gut. These include oesophageal atresia and tracheo-oesophageal fistula, anterior abdominal wall defects, congenital pyloric stenosis, atresia and stenosis of the small intestine, duplication of the gastrointestinal tract, small intestinal malrotation with or without volvulus, small intestinal lymphangiectasia, Meckel’s diverticulum, congenital short intestine syndrome, colonic atresia, Hirschsprung’s disease, and imperforate anus. Meconium ileus is an intestinal obstruction that develops in utero, often associated with subsequent structural abnormalities. The widespread use of ultrasonography allows many abnormalities to be recognized prenatally. Presentation of structural congenital abnormalities of the gastrointestinal tract in adult life is uncommon, but small intestinal lymphangiectasia, Meckel’s diverticulum, or small intestinal obstruction can present beyond childhood. Functional congenital abnormalities include multiple genetic defects that cause congenital diarrhoea due to malabsorption and maldigestion, defects in enterocyte and enterochromaffin cell development, and autoimmune enteropathies. In addition, there is a group of genetic defects that predispose to development of extreme early infantile onset of inflammatory bowel disease. An interdisciplinary approach is required for the optimal management of children with complex congenital abnormalities.

Femoral hernia with strangulated Meckel's diverticulum (Littre's hernia)

1980 ◽  
Vol 139 (2) ◽  
pp. 286-289 ◽  
Author(s):  
Jon A. Perlman ◽  
Herbert C. Hoover ◽  
Paul K. Safer
Keyword(s):  
Femoral Hernia ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Littre’S Hernia

Meckel’s diverticulum: an unusual finding during inguinal hernioplasty

Nowa Medycyna ◽  
2018 ◽  
Vol 25 (2) ◽  
Author(s):  
Sławomir Glinkowski ◽  
Daria Marcinkowska
Keyword(s):  
Inguinal Hernia ◽  
Gastrointestinal Tract ◽  
Histopathological Examination ◽  
Wedge Resection ◽  
Meckel’S Diverticulum ◽  
Healing Process ◽  
Rare Condition ◽  
Meckel's Diverticulum ◽  
Patient Reported ◽  
History Of

Meckel’s diverticulum is the most common congenital malalignment of the gastrointestinal tract, present in 2-4% of population. It occurs as an embryologic remnant of the vitelline duct. It may have different histological texture. Usually it is diagnosed only during autopsy or intraoperatively. Symptoms such as haemorrhage, inflammation or perforation are possible but very rare. The authors present a case of a patient who received scheduled surgical treatment due to right inguinal hernia. Meckel’s diverticulum was intraoperatively identified in the hernial sac. It was resected and sent for histopathological examination. Before the operation, the patient reported no history of diverticulum and no symptoms. A wedge resection and hernioplasty by Lichtenstein’s method were performed. Hernioplasty with mesh implantation and gastrointestinal tract discontinuity may be associated with a greater risk of infection; therefore prophylactic pre- and post-operative antibiotic therapy was administered. The surgery and the hospitalisation period were uneventful. No symptoms of wound infection were observed, and the healing process was proper. Histopathology findings confirmed the diagnosis of Meckel’s diverticulum. The herniation of a Meckel’s diverticulum – the so-called Littre hernia, is a very rare condition. On average, one case is described every year. In 50% of cases, it is localised in right inguinal hernia, as in the described case. Standard treatment involves diverticulum resection and, depending on the local condition, resection of the adjacent fragment of intestine in some cases.

scholarly journals Phytobezoar Within Meckel’s Diverticulum Presenting With Partial Intestinal Obstruction

2020 ◽  
Author(s):  
Reza Mosaddegh ◽  
Mohammad Hossein Ghafouri ◽  
Mahdi Rezai ◽  
Mohammad Reza Maghsoudi ◽  
Farzaneh Beigmohammadi
Keyword(s):  
Gastrointestinal Tract ◽  
Intestinal Obstruction ◽  
Case Reports ◽  
Meckel’S Diverticulum ◽  
Ileocecal Valve ◽  
Meckel's Diverticulum ◽  
Midline Laparotomy ◽  
Ectopic Tissue ◽  
History Of ◽  
Partial Intestinal Obstruction

Introduction: Meckel’s Diverticulum (MD) affects approximately 2% of the population. Phytobezoar is defined as a vegetable and fiber-based ball in the gastrointestinal tract. We report a rare case of phytobezoar within MD presenting with partial intestinal obstruction. Case Reports: We hereby present a 20-year-old man who referred to the Emergency Department of a hospital with a two-day history of nausea, vomiting, abdominal pain, and constipation. He underwent a midline laparotomy with surgical exploration, which revealed an MD 60 cm proximal to ileocecal valve containing phytobezoar. Histopathology reported the extracted specimen as an MD without ectopic tissue. Conclusion: Meckel’s diverticulum can be affected by bezoars as well as other parts of the gastrointestinal tract. We recommend that phytobezoar within MD be considered among differential diagnosis of bowel obstruction.

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