Abstract

MUSTELIER SANCHEZ, Rosa Margarita  and  GONZALEZ DE LA FE, Roberto. Hernia of Littré strangled. Presentation of a case. Multimed [online]. 2019, vol.23, n.5, pp. 1112-1123. ISSN 1028-4818.

The Littré hernia is the presence of a Meckel diverticulum in any hernia of the abdominal wall. There are few reports in the medical literature due to its low incidence. His clinical suspicion is infrequent, so his diagnosis is intraoperative. We present a case of a 39-year-old patient who goes to the emergency service of the Hospital Misionario de Vouga. Cunhinga, Bié. Republic of Angola, with acute abdominal pain, and no expulsion of gases. Upon physical examination we found abdominal pain, slight abdominal defense and a painful and irreducible tumor in the right inguinal region. The patient is admitted with the diagnosis of strangulated right inguinal hernia. He underwent emergency surgery with a strangulated Littr hernia. We performed kelootomy plus intestinal resection of the ileus segment that contains the end-stage diverticulum and anastomosis, due to signs of ischemia and necrosis plus right inguinal herniorrhaphy. The patient was discharged after 10 days with favorable evolution.

Keywords : Meckel diverticulum; Abdominal hernia; Abdominal wall.

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