Unusual Rare Littré's hernia in Recurrent Inguinal Hernia a Case Report

Volume 8, Issue 3, June 2024     |     PP. 48-58      |     PDF (364 K)    |     Pub. Date: October 21, 2024
DOI: 10.54647/pmh330359    34 Downloads     1474 Views  

Author(s)

Abdulmuttaleb T. Abdulrahman, Department of surgery, senior specialist surgeon, Al-Thawra Hospital, Taiz, Yemen
Abdulhakim Al-Tamimi, Assistant Professor of surgery and dean of Edan Medical school, Eden, Yemen.

Abstract
Any hernia containing Meckel's diverticulum is called Littre's hernia. Littre's hernia (LH) in recurrent inguinal hernia (RIH) is extremely rare or probably unknown in literature. Littre's hernia is very rare, with an estimated incidence of LH of 0.09 % in strangulated or incarcerated hernias. In the last 300 years, about 50 cases of (LH) have been reported since it was first described in 1700 by a French anatomist and physician, Alexis de Littre, who reported 2 cases during his career. The diagnosis is unlikely to be made preoperatively. We present a case of a young male, 22 years old, with a history of right inguinal herniotomy12 years ago, he presented with symptoms and signs of acute intestinal obstruction due to recurrent right inguinal hernia. Urgent exploration was carried out via right inguinal incision, the hernial sac was opened, and the contents of the sac was small bowel with Meckel's diverticulum, diverticulectomy, hernioplasty, and unabsorbable mesh were implanted. The patient did well, free of symptoms for three months. It is generally agreed that surgical resection of Meckel's diverticulum is the treatment of choice when encountered during emergency repair of Littre's hernia.

Keywords
Littre's hernia, Meckel's diverticulum, intestinal obstruction, recurrent inguinal hernia, vitelline duct.

Cite this paper
Abdulmuttaleb T. Abdulrahman, Abdulhakim Al-Tamimi, Unusual Rare Littré's hernia in Recurrent Inguinal Hernia a Case Report , SCIREA Journal of Health. Volume 8, Issue 3, June 2024 | PP. 48-58. 10.54647/pmh330359

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