Zafer ŞENOL, Taygun GÜLŞEN

A rare Meckel’s diverticulum complication in inguinal hernia: case report of Littre hernia

Abstract Meckel’s diverticulum (MD) is the most common congenital abnormality of the gastrointestinal tract resulted from incomplete closure of the omphalomesenteric tube between 5th-7th intrauterine week. The incidence of MD is reported to be around 2% in the general population. MD is generally asymptomatic during life and symptoms are observed in around 1% of patients. MD is rarely found within hernial sac which is known as Littre hernia (LH). The incidence of this extremely rare condition, LH, is less than 1% in all MD cases. It is difficult to diagnose LH preoperatively. A 63 years old male patient applied to our hospital with the complaints of swelling in both of his inguinal regions for the last six months. In the right hernia sac of the patient, Meckel’s diverticulum was seen which became evident during surgery. In this study, this very rare MD case observed and treated in our patient and known in the literature as a Littre hernia is presented.

Keywords:

Meckel's diverticulum, inguinal hernia hernia sac, Littre hernia,

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Chen JJ, Lee HC, Yeung CY, et al. Meckel’s Diverticulum: Factors Associated with Clinical Manifestations. ISRN Gastroenterology 2014; 1-5.
Poley J, Thielen T, Pence J. Bleeding Meckel’s diverticulum in a 4-month-old infant: treatment with laparoscopic diverticulectomy. A case report and review of the literature. Clin Exp Gastroenterol 2009; 2: 37-40.
Huang C, Lai M, Hwang F, et al. Diverse presentations in pediatric Meckel’s diverticulum: a review of 100 cases. Pediatr Neonatol 2014; 55: 369-75.
Malhotra S, Roth DA, Gouge TH, Hofstetter SR, Sidhu G, Newman E. Gangrene of Meckel’s diverticulum secondary to axial torsion: a rare complication. Am J Gastroenterol 1998; 93: 1373-5.
Ioannidis A, Karanikas I, Koutserimpas C, Velimezis G. Combined Littre and Richter’s femoral hernia: an extremely rare intra-operative finding. Il Giornale di chirurgia 2019; 39:177–80.
Lucarini L, Balestrino E, Vassallo G. Strangulation of a Meckel diverticulum in a crural hernia (Littre’s hernia). Case report of a male patient. Minn Med 1981; 72: 2997-8.
Rashid OM, Ku JK, Nagahashi M, Yamada A, Takabe K. Inverted Meckel’s diverticulum as a cause of occult lower gastrointestinal hemorrhage. World J Gastroenterol 2012; 18: 6155-9.
Schizas D, Katsaros, I, Tsapralis D, et al. Littre’s hernia: a systematic review of the literature. Hernia 2019; 23: 125-30.