Abstract
Littre’s hernia, in which the hernia sac contains a Meckel’s diverticulum, is extremely uncommon in paediatric population. We are reporting a case of Littre hernia in a 4.5 year old male child who presented with an irreducible mass in right inguinal region. The diagnosis was made peroperatively. The patient was successfully managed by diverticulectomy and herniotomy and is doing well in follow up.J Nepal Paediatr Soc 2016;36(3):300-302
Highlights
Littre’s hernia (LH)is the protrusion of Meckel diverticulum (MD) through a potential abdominal opening with a container sac
A case of4.5 year old male child who presented with irreducible mass in right inguinal region and diagnosed intraoperatively as Littre’s hernia is reported
LHis an unusual complication of MD5. It is a rare finding in adults with an incidence of about 4-10% and still rarer in children[2].The period of infancy seems to be the most risky one as the chance of LH is probably attributed to the tendency of incarceration in this age group
Summary
Littre’s hernia (LH)is the protrusion of Meckel diverticulum (MD) through a potential abdominal opening with a container sac. Littre’s hernia is reported for inguinal, umbilical, femoral, ventral, sciatic and lumbar regionsand is generally difficult to differentiate from other types of hernia until complications arise It is a rare and accidental finding at any age. The incidence is about 4-10%but the presentation is quite rare in childhood and the true incidence is unknown In this case report, a case of4.5 year old male child who presented with irreducible mass in right inguinal region and diagnosed intraoperatively as Littre’s hernia is reported. The child did well without any complications and was discharged home on the seventh postoperative day and is doing well in follow up
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