Strangulated Littré Hernia Apropos of a Case in the Department of General and Visceral Surgery of the National Hospital Ignace Deen CHU Conakry

Abstract

Littré's hernia is the presence of Mekel's diverticulum in the hernial sac. Meckel's diverticulum is the most common birth defect of the digestive tract. It results from the involution of the omphalomesenteric or vitelline duct which normally becomes obliterated around the sixth week of intrauterine life. Although this condition is common, its presence in the hernial sac during the cure of a hernial strangulation is an extremely rare case in our practice. We report a case concerning a 42-year-old sportsman, admitted to the general and visceral surgery department of the Ignace Deen National Hospital for painful, irreducible, non-impulsive and non-expansive right inguino-scrotal swelling on coughing in whom, at the end of the clinical examination the diagnosis of a strangulated right inguino-scrotal hernia was made, he benefited from a surgical management during which the exploration revealed a hernial sac containing hail with a formation oblong on the antemesenteric surface without necrosis with peritoneal fluid. We proceeded to a resection carrying the diverticulum followed by the end-to-end ileal-ileal anastomosis plus the cure of the hernia according to Desarda. The medium-term follow-up with a follow-up of six months did not note any particularity. The diagnosis of this condition is difficult and often arises intraoperatively and the treatment is surgical.