You may do so in any reasonable manner, but not in. A littre s hernia is an abdominal wall hernia that involves the meckels diverticulum, which is a congenital pouch formation on the small intestine that contains tissue leftover during the formation of the digestive tract and its organs. Unless symptoms such as rectal bleeding and abdominal pain and tenderness occur, a meckels diverticulum often goes undetected. Chevrel with the purpose of promoting clinical studies and basic research as they apply to groin hernias, internal hernias, the abdominal wall anterior and posterolateral aspects, the diaphragm and the perineum, the advancement of abdominal wall and hernia surgery in all aspects, the study of anatomical, physiological, pathological and therapeutic. Indirect inguinal hernia an indirect inguinal hernia occurs when any intraabdominal structure protrudes through the deep inguinal ring entering the inguinal canal. The recent report of baum and oich 6 is remarkable for the fact that the littre hernia involved the left femoral orifice.
In the year 1700, the french surgeon alexis littre was the first to describe cases of incarcerated femoral hernias containing a small bowel. A hernia is a small bulge that occurs when an internal organ pushes through the surrounding layer of muscle and tissue. Littres hernia definition of littres hernia by medical. We report a 19 years old male that consulted in an emergency hospital due to a painful lump in the right inguinal region after a blunt trauma. In this research, we present the details of diagnosis.
This type of hernia is called inguinal because fat or part of the intestine slides through a weak area at the inguinal ring, the opening to the inguinal canal. An additional case of meckels diverticulum as an incidental. Hence, it is of utter importance that a clinician is aware of such uncommon pathology. Since then the hernia sacs containing only meckels diverticula are termed as littre s hernia. The diagnosis is unlikely to be made preoperatively and surgery is the treatment of choice.
Since then the presence of meckei s diverticu ium in a hernia sac anywhere is aiso caiied littre s hernia. The nature of the repair depends upon the size and location of the. Symptoms of a hiatal hernia may include heartburn and upper abdominal pain. Links to pubmed are also available for selected references. Repair of littres hernia then consists of resection of the diverticulum and herniorraphy. It is most frequently encountered in the inguinal region. Cleveland clinic is a nonprofit academic medical center. Get clear, concise descriptions and evidencebased treatment guidelines for a full range of clinical conditions, ranging from the common to the unusual.
Organs in the abdomen move into the chest through an opening in the diaphragm. Pdf meckel diverticulum md is the most common congenital anomaly of the gastrointestinal tract, occurring in 23% of the population. Littres hernia world journal of surgery and surgical research. The most common symptom of a hernia is a bulge or lump in the affected area. Surgical anatomy, embryology, and technique of repair littre hernia is the protrusion of a meckel diverticulum through a potential. Perioperatively even though the sac seemed empty, it was opened in order to inspect its content.
Hernia infraumbilical pdf umbilical hernia is a rather common surgical problem. Summary littre hernia is defined as the presence of a meckel diverticulum in any hernial sac. This is the first case of a transthoracic littres hernia caused by traumatic rib fractures. There are few cases published in the literature and its frequency is not well described. An inguinal hernia occurs in the grointhe area between the abdomen and thigh. Get a printable copy pdf file of the complete article 720k. Amyand hernia is a rare form of an inguinal hernia in which the vermiform appendix is located within the hernial sac.
In the early twentieth century there appeared to be some confusion again regarding littre. The bladder may enter the hernia, and is easily injured. We report the case of a 40 days old boy who underwent littre. An inguinal hernia appears as a bulge on one or both sides of the groin. The antimesenteric border of the intestine must protrude into the hernia sac the most common location is at the site of a femoral hernia. This does not represent a greater incidence of meckels diverticulum in women but rather the greater incidence of femoral hernia. Littre hernia lh is difficult to distinguish from other hernias until complications arise. This file contains additional information, probably added from the digital camera or scanner used to create or digitize it. This file contains additional information such as exif metadata which may have been added by the digital camera, scanner, or software program used to create or digitize it. Littre s hernia 11% is an unusual complication of a meckel diverticulum. Littre hernia lh is the protrusion of md through a potential abdominal opening in a sac. Littre hernia lh is the protrusion of a meckel diverticulum md through a potential abdominal opening with a container sac.
Littre s hernia is a very rare condition, reported only in 50 cases till date. A patient with a direct hernia is likely to be older with poor tissues, and perhaps prostatism, a urethral stricture, dyspnoea, a cough, or constipation, all of which will stress the hernia repair. The only way to prevent a littres hernia is by surgically removing a meckels diverticulum from the exterior wall of the small intestine. Littre hernia is a hernia containing a meckel diverticulum, and is also known as a persistent omphalomesenteric duct hernia. The usual sites of these socalled littre hernias are inguinal 50%, umbilical 20%, and femoral 20% 3. Although littres original report related to femoral hernias, 50% of the meckels diverticula are in inguinal hernias, 20% in femoral, 20% in umbilical and remaining 10% in other miscellaneous hernias 6, 7, 8. If the file has been modified from its original state, some details such as the timestamp may not fully reflect those of the original file.
Littre herniaincarcerated meckels diverticulum sciencedirect. Abd wall hernias university of tennessee college of medicine. As there were no apparent peritoneal irritation findings, rightsided incarcerated inguinal hernia was reduced and the patient was scheduled for an elective herniorrhaphy. Get a printable copy pdf file of the complete article 1. He was the first to give a description of a hernial protrusion of an intestinal diverticulum. Littre hernia lh is the protrusion of a meckel diverticulum md through a. Full text full text is available as a scanned copy of the original print version. Como cure mi hernia inguinal como cure mi hernia inguinal. Review littres hernia the american journal of surgery.
Most commonly they involve the abdomen, specifically the groin. Abdominal wall hernias are typically classified by location or etiology. A hiatal hernia forms at the opening in your diaphragm where your food pipe esophagus joins your stomach. Littre hernia is the protrusion of a meckel diverticulum through a potential abdominal opening. Other hernias include hiatus, incisional, and umbilical hernias. Since then the hernia sacs containing only meckels diverticula are termed as littres hernia. This article reports the discovery during an inguinal herniorraphy in a four years old patient of a meckels diverticulum this. Scribd is the worlds largest social reading and publishing site. It is characterized by the presence of meckels diverticulum in the hernial sack. Littre s hernia is the presence of a meckel diverticulum within an orifice in the abdominal wall. We report a case of littre hernia in a boy who presented with acute scrotal pain. Littre hernia definition of littre hernia by medical dictionary. Symptoms of a littre s hernia are similar to symptoms of a strangulated or incarcerated hernia. Symptoms range from abdominal cramping, fever, nausea, and frequent vomiting to swelling of the groin hernia, intense pain, and hardening of the hernia bulge.
Pdf meckel diverticulum md is the most common congenital anomaly of the gastrointestinal. Full text is available as a scanned copy of the original print version. The intestine pushes through the abdomen at the side of the abdominal muscle, below the navel. This file is licensed under the creative commons attributionshare alike 3. Strangulation of a meckels diverticulum in a femoral. We have collaborated with global faculty to share best practices in the field of hernia management and repair using an online learning management system which you can. A littre hernia is defined by the presence of meckels diverticulum in the hernia sac 1. A littres hernia is an abdominal wall hernia that involves the meckels diverticulum, which is a congenital pouch formation on the small intestine that contains tissue leftover during the formation of the digestive tract and its organs. A hernia is a protrusion, bulge, or projection of an organ or part of an organ through the body wall that normally contains it. Our patient has been operated as incarcerated inguinal hernia and littre hernia diagnosed at operation.
Littre s hernia is incarcerated meckels diverticulum in femoral, inguinal, or umbilical hernia. A littre hernia occurs in less than 1% of patients with a md 3. Most abdominal wall hernias should be evaluated by a surgeon when identified. Most small hiatal hernias dont cause problems, and you may never know you have a hiatal hernia unless your doctor discovers. Meckels diverticulum is the most common congenital anomaly of the gastrointestinal tract. April 1917, complaining of a recurrent right inguinal hernia. Usual sites of littre hernia are right inguinal 50% of cases, umbilical hernia 20%, and femoral hernia 20%. Part of the stomach pushes through this opening causing a hiatal hernia. Laura eleni nedelescu centrul medical al carp omenia str. Abstract the case report of a 47 years adult is described who went to the em ergency room of. Get a printable copy pdf file of the complete article 564k, or click on a page image below to browse page by page. Strangulation of a meckels diverticulum in a femoral hernia. This article reports the discovery during an inguinal herniorraphy in a four years old patient of a meckels diverticulum this entity depends on the vitelin duct. We report a rare case of littre s hernia who presented with clinical signs of intestinal obstruction.
An indirect inguinal hernia is a congenital lesion. Critical to the repair of richters hernia is an adequate evaluation of the intestine for viability. Littres hernia is the presence of a meckel diverticulum within an orifice in the abdominal wall. A hernia is the abnormal exit of tissue or an organ, such as the bowel, through the wall of the cavity in which it normally resides. A 3yearold boy with a rightsided and painful inguinal swelling for the last 2 h was admitted to the emergency department. Conclusion internal littres hernia is usually of congenital origin. Interparietal interstitial hernia refers to a hernia sac located in the fascial planes between the abdominal wall muscles that does not exit into the subcutaneous tissue. A direct hernia is twice as likely to recur as an indirect. Littre hernia is defined as the presence of a meckel diverticulum in any hernia sac, the incidence is around 2% and few cases have been described in. For example, in the case of an inguinal hernia, you may notice a lump on either side of your pubic bone where your. Definition hernia meansto bud or to protrude off shoot greek rupture latin hernia is defined as an abnormal protrusion of a viscous or a part of a viscous through an opening, artificial or natural with a sac, covering it. Littres hernia is the presence of a meckel diverticulum within an.
Groin hernias are most commonly of the inguinal type but may also be femoral. Bowel obstruction and local inflammation are the possible complications. Most people dont know they have a meckels diverticulum. Strangulation of a meckels diverticulum in a femoral hernia littres. Hernia u is your source for live hernia webcasts and hernia a to z learning platform. Littre hernias are rare and develop more often in inguinal hernias than other types of abdominal wall hernias. Mar 31, 2015 the neck of the sac is small, so that when strangulation occurs, often only part of the circumference of the gut is involved causing what is known as a richters hernia 16. Meckel diverticulum as the sole component of the hernia sac. Littre hernia an occasional cause of acute abdomen bjstr. Overview of abdominal wall hernias in adults uptodate. Alexis littre 17 july 1654 3 february 1726 was a french physician and anatomist born in cordes currently cordestolosannes in the department of tarnetgaronne. If the file has been modified from its original state, some details may not fully reflect the modified file. Littre hernia an occasional cause of acute abdomen.
A littre hernia occurs in less than 1% of patients with a. Littre hernia is the protrusion of a meckel diverticulum through. Surgical anatomy, embryology, and technique of repair. Littre hernia definition of littre hernia by medical.
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