Abstract
Herniation and incarceration of a Meckel’s diverticulum in a hernial sac—Littre hernia—is a relatively uncommon surgical emergency. Segmental stenosis of small intestine after hernia reduction and consecutive intestinal obstruction is a similarly rare emergency. The combination of both these disorders is extremely uncommon at any age and especially during infancy. The obvious rarity of the condition, its subtle diagnostic features, the potentially ominous course of events and the age of patient indicate early surgery as a life-saving solution.
References
Mishalany HG, Pereyra R, Longerbeam JK (1982) Littre’s Hernia in infancy presenting as undescended testicle. J Pediatr Surg 17(1):67–69
Messina M, Ferrucci E, Meucci D, Di Maggio G, Molinaro F, Buonocore G (2005) Littre’s hernia in newborn infants: report of two cases. Pediatr Surg Int 21(6):485–487
Galinier P, Bouali O, Juricic M, Smail N (2007) Focusing of inguinal hernia in children. Arch Pediatr 14(4):399–403
Steinke W, Zellweger R (2000) Richter’s hernia and Sir Frederick Treves: original clinical experience, review, and historical overview. Ann Surg 232(5):710–718
Citgez B, Yetkin G, Uludag M, Karakoc S, Akgun I, Ozsahin H (2011) Littre’s hernia, an incarcerated ventral incisional hernia containing a strangulated Meckel diverticulum: report of a case. Surg Today 41(4):576–578
Skandalakis PN, Zoras O, Skandalakis JE, Mirilas P (2006) Littre hernia: surgical anatomy, embryology, and technique of repair. Am Surg 72(3):238–243
Narci A, Korkmaz M, Albayrak R, Sözübir S, Güvenç BH, Köken R, Demir T, Doğru O (2008) Preoperative sonography of nonreducible inguinal masses. J Clin Ultrasound 36(7):409–412
Sinha R (2005) Bowel obstruction due to Littre hernia: CT diagnosis. Abdominal Imag 30(6):682–684. doi:10.1007/s00261-005-0318-4
Cherney LS (1958) Intestinal stenosis following strangulated hernia review of the literature and report of a case. Ann Surg 148(6):991–994
Hernanz-Schulman M (1999) Imaging of neonatal intestinal obstruction. Radiol Clin North Am 37(6):118–1163
Olson DE, Kim YW, Donnelly LF (2009) CT findings in children with Meckel diverticulum. Pediatr Radiol 39(7):659–663
Muakkassa FF, Abouchedid C (1987) Littre’s hernia. N J Med 84:653–655
Park JJ, Wolff BG, Tollefson MK, Walsh EE, Larson DR (2005) Meckel diverticulum: the mayo clinic experience with 1476 patients (1950–2002). Ann Surg 241(3):529–533
Sharma RK, Jain VK (2008) Emergency surgery for Meckel’s diverticulum. World J Emerg Surg 13(3):27–32
Smart N, Immanuel A, Mercer-Jones M (2007) Laparoscopic repair of a Littre’s hernia with porcine dermal collagen implant (Permacol). Hernia 11(4):373–376
Comman A, Brunner SM, Gaetzschman P, Kipf B, Baierl W, Behrend M (2008) Incarcerated femoral Littre’s hernia-transperitoneal preperitoneal hernia repair (TAPP) and laparoscopic resection of the necrotic diverticulum. Surg Laparosc Endosc Percutan Tech 18(4):409–413
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Višnjić, S., Car, A. & Kralj, R. Stenosis of the small intestine after reduction of strangulated Littre hernia in an infant. Hernia 17, 285–288 (2013). https://doi.org/10.1007/s10029-011-0861-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10029-011-0861-6