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Revista Cubana de Cirugía
On-line version ISSN 1561-2945
Abstract
MESA IZQUIERDO, Orlando et al. Intestinal Occlusion by Littré Hernia. Rev Cubana Cir [online]. 2016, vol.55, n.3, pp. 259-264. ISSN 1561-2945.
Littré hernia is defined as the presence of a Meckel's diverticulum inside any hernial orifice. Very few cases are reported in literature because its rarity, with an incidence of approximately 2% of the general population. We report a 70-year-old man who came to the emergency department for filing an intestinal obstruction due to an incarcerated right inguinal scrotal hernia. He urgently underwent surgery because of this diagnosis. Surgery was addressed by right preperitoneal inguinal via. A gangrenous and perforated Meckel's diverticulum was found inside the hernia sac. Intestinal resection was performed. The distal end of the terminal ileum was closed near the valve, the íleocolon latero-side up anastomosis was performed and the hernia defect was repaired with a polypropylene mesh. The patient did well and was discharged 7 days later.
Keywords : Littré hernia; Meckel's diverticulum.