Uncommon Cause of Intestinal Obstruction: Umbilical Littré’s Hernia

Abstract

Introduction: Meckel's diverticulum occurs in 0.3-3% of the world population. This is the embryological remnant due to the lack of obliteration of the omphalomesenteric duct at the fifth week of gestation. The complication of Meckel's diverticulum that protrudes through any hernial orifice is called Littré's hernia. In this case, it presents through an umbilical defect. Objective: Report a case of umbilical Hernia Littré given its low incidence. Case Report: A 26-year-old male with no significant history. The physical examination revealed an umbilical defect measuring 1 cm in diameter with no evidence of incarceration or strangulation. Conservative decompressive management was established, nasogastric tube with initial expenditure of 400 milliliters of gastrobiliary content; however, after 12 hours there was no clinical improvement. Surgical management was decided, an exploratory laparotomy was performed, as findings of little free fluid with an inflammatory appearance, 1 cm umbilical defect with a hernial sac containing a Meckel diverticulum. Conclusion: The presentation of these clinical cases enriches the literature and gives us the opportunity to identify more of these rare clinical cases.