Titre
Surgical Approach to Littre's Hernia: A Rare Presentation of Meckel's Diverticulum.
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
The American journal of case reports
Auteur(s)
Regueiras Mendes, J.M.
Auteure/Auteur
Chatziisaak, D.
Auteure/Auteur
Burri, P.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
1941-5923
Statut éditorial
Publié
Date de publication
2025-07-20
Volume
26
Première page
e947174
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Journal Article ; Case Reports
Publication Status: epublish
Publication Status: epublish
Résumé
BACKGROUND Littre's hernia is a rare entity defined as the herniation of a Meckel's diverticulum through a defect in the abdominal wall. Although Meckel's diverticulum occurs in up to 2% of the population, its manifestation within a hernia is extremely rare, comprising around 1% of Meckel's cases. This report describes the case of a 32-year-old man presenting as an emergency with lower abdominal pain and a diagnosis of Littre's hernia. CASE REPORT A 32-year-old man presented with a 3-day history of lower abdominal pain and periumbilical erythema. Clinical examination revealed an irreducible umbilical hernia. Laboratory tests showed leukocytosis and elevated CRP. A CT scan suggested an incarcerated hernia with signs of ischemia, but no clear identification of Meckel's diverticulum. Diagnostic laparoscopy followed by mini-laparotomy revealed a necrotic Meckel's diverticulum 110 cm proximal to the ileo-cecal valve. A stapled diverticulectomy was performed without mesh repair due to contamination. The wound was managed with a vacuum-assisted closure (VAC) system. The postoperative course was uneventful, and histopathology confirmed necrotizing inflammation without malignancy. CONCLUSIONS Littre's hernia is a rare but important differential diagnosis in abdominal wall hernias and can present symptomatically as an acute abdomen. This case highlights the presentation, diagnosis, and surgical management of an atypical umbilical Littre's hernia and reinforces the value of prompt surgical exploration and intraoperative assessment to avoid ischemic complications.
PID Serval
serval:BIB_B55AC4D6685D
PMID
Open Access
Oui
Date de création
2025-07-25T12:13:05.966Z
Date de création dans IRIS
2025-08-03T03:59:00Z
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Nom
40684255.pdf
Version du manuscrit
published
Licence
https://creativecommons.org/licenses/by-nc-nd/4.0
Taille
1.07 MB
Format
Adobe PDF
PID Serval
serval:BIB_B55AC4D6685D.P001
URN
urn:nbn:ch:serval-BIB_B55AC4D6685D7
Somme de contrôle
(MD5):229ad23813a6d2f98cfa65e73944cad7