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

Zafer Şenol,Taygun Gülşen

doi:10.38053/acmj.865027

Abstract

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.

Highlights

Meckel’s diverticulum (MD) is the most common congenital abnormality of the gastrointestinal tract and its incidence is reported to be approximately 2% in the population
MD is rarely found within hernial sac which is known as Littre hernia (LH)
MD is rarely observed within hernial sac which is known as Littre hernia (LH)

Summary

INTRODUCTION

Meckel’s diverticulum (MD) is the most common congenital abnormality of the gastrointestinal tract and its incidence is reported to be approximately 2% in the population. MD is rarely observed within hernial sac which is known as Littre hernia (LH). This unusual condition, LH, is seen in less than 1% of all MD cases. The treatment of a LH case which only became evident during surgery in a male patient is presented and examined together with other cases in the literature. As a result of medical examinations, bilateral inguinal hernia was diagnosed. The presence of MD in the hernial sac, which is a very rare condition, was observed in the right hernia sac of our patient. Due to the absence of strangulation and infection, no additional surgical procedure was carried out, and hernia repair was performed with the appropriate technique

Findings

DISCUSSION

CONCLUSION