İnkarsere Littre hernisi: Meckel divertikülünün nadir bir presentasyonu

Meckel divertikülü omfalo mezenterik kanalın kapanmaması sonucu oluşan konjenital bir anomalidir. Nadiren fıtık kesesi içinde bulunduğunda Littre Hernisi olarak adlandırılmaktadır. Bu olgu sunumunda inkarsere inguinal herni tanısı ile opere edilen ve herni kesesi içinde Meckel divertikülü saptanan 39 yaşında bir erkek hasta sunulmuştur.

Anahtar Kelimeler:

Meckel divertikülü, Littre hernisi, inguinal herni

Incarcerated Littre’s hernia: uncommon presentation of Meckel’s diverticulum

Meckel’s diverticulum is a congenital abnormality due to incomplete closure of omphalo-mesenteric duct. It is called ‘Littre hernia’ when it is present in the hernia sac. In this paper, we present a 39-year-old man who underwent emergency surgery for incarcerated inguinal hernia and Meckel’s diverticulum detected in the hernia sac.

Keywords:

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

PDF

___

Dumper J, Mackenzie S, Mitchell P, Sutherland F, Quan ML, Mew D. Complications of Meckel’s diverticula in adults. Can J Surg 2006; 49: 35.3.
Yahchouchy EK, Marano AF, Etienne JC, Fingerhut AL. Meckel’s diverticulum. JAm Coll Surgeons 2001;192: 658–62.
Meckel JF. U¨ ber die divertikel am darmkanal. Arch die Physiologie 1809; 9: 421-53.
Turgeon DK, Barnett JL. Meckel’s diverticulum. Am J Gastroenterol 1990; 85: 777–81.
Park JJ, Wolff BG, Tollefson MK, Walsh EE, Larson DR. Meckel’s Diverticulum; The Mayo Clinic experience with 1476 patients (1950-2002) Am Surg 2005; 241: 529-33.
Yamaguchi M, Takeuchi S, Awazu S. Meckel’s diverticulum investigation of 600 patients in the Japanese literature. Am J Surg 1978; 136: 247–9.
Skandalakis PN, Zoras O, Skandalakis JE, Mirilas P. Littre hernia: surgical anatomy, embryology, and technique of repair. Am Surg 2006; 72: 238-43.
Frankau C. Strangulated hernias: a review of 1487 cases. Br J Surg 1931; 19: 176–91.
Zuniga D, Zupanec R. Littre hernias. JAMA 1977; 237: 1599.
Sinha R. Bowel obstruction due to Littre’s Hernia: CT Diagnosis. Abdom Imaging 2005; 30: 682-4.
Sahoo PK, Rout SS. Littré’s hernia: a rare complication of Meckel’s diverticulum. Int Surg J 2017; 4: 1481-3.