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Alexis Littre first described the condition in relation to a femoral hernia in 1770 (1). It is a very rare condition and very few cases are" /> <meta name="twitter:image" content="https://0.academia-photos.com/48799889/12840349/18975967/s200_bikramjit.pal.jpg" /> <meta property="fb:app_id" content="2369844204" /> <meta property="og:type" content="article" /> <meta property="og:url" content="https://www.academia.edu/25366142/RARE_PRESENTATION_OF_A_CASE_OF_LITTRES_HERNIA_A_CASE_REPORT" /> <meta property="og:title" content="RARE PRESENTATION OF A CASE OF LITTRE'S HERNIA – A CASE REPORT" /> <meta property="og:image" content="http://a.academia-assets.com/images/open-graph-icons/fb-paper.gif" /> <meta property="og:description" content="Littre&#39;s Hernia is an abnormal protrusion of Meckel&#39;s Diverticulum through an abdominal opening. Alexis Littre first described the condition in relation to a femoral hernia in 1770 (1). It is a very rare condition and very few cases are" /> <meta property="article:author" content="https://manipal.academia.edu/BikramjitPal" /> <meta name="description" content="Littre&#39;s Hernia is an abnormal protrusion of Meckel&#39;s Diverticulum through an abdominal opening. Alexis Littre first described the condition in relation to a femoral hernia in 1770 (1). It is a very rare condition and very few cases are" /> <title>(PDF) RARE PRESENTATION OF A CASE OF LITTRE'S HERNIA – A CASE REPORT | Bikramjit Pal - Academia.edu</title> <link rel="canonical" href="https://www.academia.edu/25366142/RARE_PRESENTATION_OF_A_CASE_OF_LITTRES_HERNIA_A_CASE_REPORT" /> <script async src="https://www.googletagmanager.com/gtag/js?id=G-5VKX33P2DS"></script> <script> window.dataLayer = window.dataLayer || []; function gtag(){dataLayer.push(arguments);} gtag('js', new Date()); gtag('config', 'G-5VKX33P2DS', { cookie_domain: 'academia.edu', send_page_view: false, }); gtag('event', 'page_view', { 'controller': "single_work", 'action': "show", 'controller_action': 'single_work#show', 'logged_in': 'false', 'edge': 'unknown', // Send nil if there is no A/B test bucket, in case some records get logged // with missing data - that way we can distinguish between the two cases. // ab_test_bucket should be of the form <ab_test_name>:<bucket> 'ab_test_bucket': null, }) </script> <script> var $controller_name = 'single_work'; var $action_name = "show"; var $rails_env = 'production'; var $app_rev = 'c7c923e13c2d00b99cbe85c9159af2026a636b1c'; var $domain = 'academia.edu'; var $app_host = "academia.edu"; var $asset_host = "academia-assets.com"; var $start_time = new Date().getTime(); var $recaptcha_key = "6LdxlRMTAAAAADnu_zyLhLg0YF9uACwz78shpjJB"; var $recaptcha_invisible_key = "6Lf3KHUUAAAAACggoMpmGJdQDtiyrjVlvGJ6BbAj"; var $disableClientRecordHit = false; </script> <script> window.require = { config: function() { return function() {} } } </script> <script> window.Aedu = window.Aedu || {}; window.Aedu.hit_data = null; window.Aedu.serverRenderTime = new Date(1732689594000); window.Aedu.timeDifference = new Date().getTime() - 1732689594000; </script> <script type="application/ld+json">{"@context":"https://schema.org","@type":"ScholarlyArticle","abstract":"Littre\u0026amp;#39;s Hernia is an abnormal protrusion of Meckel\u0026amp;#39;s Diverticulum through an abdominal opening. Alexis Littre first described the condition in relation to a femoral hernia in 1770 (1). It is a very rare condition and very few cases are reported till date. Meckel\u0026amp;#39;s diverticulum is the most common congenital abnormality of the gastrointestinal tract. It is a true diverticulum found in the anti-mesentric border. It is the remnant of the persistent intestinal part of the vitello-intestinal or omphalo-enteric duct and comprises of all intestinal layers (2, 3, 4). It is found in 2% of total population, 2 feet from ileo-caecal junction and 2 inches in length, 2 types of common ectopic tissue (gastric and pancreatic). Meckel\u0026amp;#39;s diverticulum may be accompanied in the sac by the ileal loop to which it is attached; rarely, it may undergo incarceration or strangulation, necrosis, and perforation. In children, it is mostly found in umbilical hernias in which case it is more prone to adhere to the sac. Intestinal obstruction may occur due to volvulus, intussusception or very rarely as a complication of Littre\u0026amp;#39;s hernia (2, 3, 5). Its diagnosis is usually difficult despite the availability of modern investigative tools. A high index of suspicion is mandatory. In most cases it is an incidental finding. Hernial obstruction and strangulation of Meckel\u0026amp;#39;s diverticulum (Littre\u0026amp;#39;s Hernia) is a rare phenomenon and representing 10% of all complications of Meckel\u0026amp;#39;s diverticulum (6, 7). Surgery is the mainstay of treatment. We herein present an extremely rare case of strangulated Meckel\u0026amp;#39;s diverticulum in a Ventral Hernia (Littre\u0026amp;#39;s Hernia) which only became evident during surgery. The ventral hernia developed following emergency appendicectomy operation done for acute appendicitis 5 months back. CASE REPORT: A 47 years old male patient was admitted through Emergency with complaints of diffuse abdominal pain with distension, intermittent vomiting, dyspepsia and anorexia for last 2 days. There was no history of loose motion, fever or bleeding per rectum. The patient had undergone emergency appendicectomy five months back. On clinical examination, tachycardia (110 / minute) was noted, blood pressure was 146/90 mm. of Hg and slightly dehydrated; a very tender irreducible lump was found at the region of scar (right lower paramedian incision) of previous appendicectomy operation; absent peristaltic sounds. The cough impulse was absent. Examination of other systems was unremarkable. Straight X-ray abdomen showed multiple distended bowel loops with fluid levels; Ultrasound scan suggested an obstructed loop of intestine at the hernia site. The diagnosis of strangulated ventral hernia was made and emergency surgery was planned after resuscitation with IV fluids and antibiotics. Abdomen was opened through the scar of the previous appendicectomy operation; careful and meticulous dissection revealed the hernia sac which was opened; foul smelling dirty fluid was mopped up and the constricting ring-like formation in the anterior sheath was cut. The sac contained the inflamed Meckel\u0026amp;#39;s diverticulum with a part (about 5 cm) of ileum. The whole of","author":[{"@context":"https://schema.org","@type":"Person","name":"Bikramjit Pal"}],"contributor":[],"dateCreated":"2016-05-16","dateModified":"2016-05-17","datePublished":null,"headline":"RARE PRESENTATION OF A CASE OF LITTRE'S HERNIA – A CASE REPORT","inLanguage":"en","keywords":["General Surgery"],"locationCreated":null,"publication":null,"publisher":{"@context":"https://schema.org","@type":"Organization","name":null},"image":null,"thumbnailUrl":null,"url":"https://www.academia.edu/25366142/RARE_PRESENTATION_OF_A_CASE_OF_LITTRES_HERNIA_A_CASE_REPORT","sourceOrganization":[{"@context":"https://schema.org","@type":"EducationalOrganization","name":"manipal"}]}</script><link rel="stylesheet" media="all" href="//a.academia-assets.com/assets/single_work_page/loswp-102fa537001ba4d8dcd921ad9bd56c474abc201906ea4843e7e7efe9dfbf561d.css" /><link rel="stylesheet" media="all" 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Alexis Littre first described the condition in relation to a femoral hernia in 1770 (1). It is a very rare condition and very few cases are reported till date. Meckel's diverticulum is the most common congenital abnormality of the gastrointestinal tract. It is a true diverticulum found in the anti-mesentric border. It is the remnant of the persistent intestinal part of the vitello-intestinal or omphalo-enteric duct and comprises of all intestinal layers (2, 3, 4). It is found in 2% of total population, 2 feet from ileo-caecal junction and 2 inches in length, 2 types of common ectopic tissue (gastric and pancreatic). Meckel's diverticulum may be accompanied in the sac by the ileal loop to which it is attached; rarely, it may undergo incarceration or strangulation, necrosis, and perforation. In children, it is mostly found in umbilical hernias in which case it is more prone to adhere to the sac. Intestinal obstruction may occur due to volvulus, intussusception or very rarely as a complication of Littre's hernia (2, 3, 5). Its diagnosis is usually difficult despite the availability of modern investigative tools. A high index of suspicion is mandatory. In most cases it is an incidental finding. Hernial obstruction and strangulation of Meckel's diverticulum (Littre's Hernia) is a rare phenomenon and representing 10% of all complications of Meckel's diverticulum (6, 7). Surgery is the mainstay of treatment. We herein present an extremely rare case of strangulated Meckel's diverticulum in a Ventral Hernia (Littre's Hernia) which only became evident during surgery. The ventral hernia developed following emergency appendicectomy operation done for acute appendicitis 5 months back. CASE REPORT: A 47 years old male patient was admitted through Emergency with complaints of diffuse abdominal pain with distension, intermittent vomiting, dyspepsia and anorexia for last 2 days. There was no history of loose motion, fever or bleeding per rectum. The patient had undergone emergency appendicectomy five months back. On clinical examination, tachycardia (110 / minute) was noted, blood pressure was 146/90 mm. of Hg and slightly dehydrated; a very tender irreducible lump was found at the region of scar (right lower paramedian incision) of previous appendicectomy operation; absent peristaltic sounds. The cough impulse was absent. Examination of other systems was unremarkable. Straight X-ray abdomen showed multiple distended bowel loops with fluid levels; Ultrasound scan suggested an obstructed loop of intestine at the hernia site. The diagnosis of strangulated ventral hernia was made and emergency surgery was planned after resuscitation with IV fluids and antibiotics. Abdomen was opened through the scar of the previous appendicectomy operation; careful and meticulous dissection revealed the hernia sac which was opened; foul smelling dirty fluid was mopped up and the constricting ring-like formation in the anterior sheath was cut. The sac contained the inflamed Meckel's diverticulum with a part (about 5 cm) of ileum. The whole of"},"document_type":"paper","pre_hit_view_count_baseline":null,"quality":"high","language":"en","title":"RARE PRESENTATION OF A CASE OF LITTRE'S HERNIA – A CASE REPORT","broadcastable":true,"draft":false,"has_indexable_attachment":true,"indexable":true}}["work"]; window.loswp.workCoauthors = [48799889]; window.loswp.locale = "en"; window.loswp.countryCode = "SG"; window.loswp.cwvAbTestBucket = ""; window.loswp.designVariant = "ds_vanilla"; window.loswp.fullPageMobileSutdModalVariant = "control"; window.loswp.useOptimizedScribd4genScript = false; window.loswp.appleClientId = 'edu.academia.applesignon';</script><script defer="" src="https://accounts.google.com/gsi/client"></script><div class="ds-loswp-container"><div class="ds-work-card--grid-container"><div class="ds-work-card--container js-loswp-work-card"><div class="ds-work-card--cover"><div class="ds-work-cover--wrapper"><div class="ds-work-cover--container"><button class="ds-work-cover--clickable js-swp-download-button" data-signup-modal="{"location":"swp-splash-paper-cover","attachmentId":45666316,"attachmentType":"pdf"}"><img alt="First page of “RARE PRESENTATION OF A CASE OF LITTRE'S HERNIA – A CASE REPORT”" class="ds-work-cover--cover-thumbnail" src="https://0.academia-photos.com/attachment_thumbnails/45666316/mini_magick20190211-29082-1e15fi0.png?1549920267" /><img alt="PDF Icon" class="ds-work-cover--file-icon" src="//a.academia-assets.com/assets/single_work_splash/adobe.icon-574afd46eb6b03a77a153a647fb47e30546f9215c0ee6a25df597a779717f9ef.svg" /><div class="ds-work-cover--hover-container"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span><p>Download Free PDF</p></div><div class="ds-work-cover--ribbon-container">Download Free PDF</div><div class="ds-work-cover--ribbon-triangle"></div></button></div></div></div><div class="ds-work-card--work-information"><h1 class="ds-work-card--work-title">RARE PRESENTATION OF A CASE OF LITTRE'S HERNIA – A CASE REPORT</h1><div class="ds-work-card--work-authors ds-work-card--detail"><a class="ds-work-card--author js-wsj-grid-card-author ds2-5-body-md ds2-5-body-link" data-author-id="48799889" href="https://manipal.academia.edu/BikramjitPal"><img alt="Profile image of Bikramjit Pal" class="ds-work-card--author-avatar" src="https://0.academia-photos.com/48799889/12840349/18975967/s65_bikramjit.pal.jpg" />Bikramjit Pal</a></div><div class="ds-work-card--detail"></div><p class="ds-work-card--work-abstract ds-work-card--detail ds2-5-body-md">Littre's Hernia is an abnormal protrusion of Meckel's Diverticulum through an abdominal opening. Alexis Littre first described the condition in relation to a femoral hernia in 1770 (1). It is a very rare condition and very few cases are reported till date. Meckel's diverticulum is the most common congenital abnormality of the gastrointestinal tract. It is a true diverticulum found in the anti-mesentric border. It is the remnant of the persistent intestinal part of the vitello-intestinal or omphalo-enteric duct and comprises of all intestinal layers (2, 3, 4). It is found in 2% of total population, 2 feet from ileo-caecal junction and 2 inches in length, 2 types of common ectopic tissue (gastric and pancreatic). Meckel's diverticulum may be accompanied in the sac by the ileal loop to which it is attached; rarely, it may undergo incarceration or strangulation, necrosis, and perforation. In children, it is mostly found in umbilical hernias in which case it is more prone to adhere to the sac. Intestinal obstruction may occur due to volvulus, intussusception or very rarely as a complication of Littre's hernia (2, 3, 5). Its diagnosis is usually difficult despite the availability of modern investigative tools. A high index of suspicion is mandatory. In most cases it is an incidental finding. Hernial obstruction and strangulation of Meckel's diverticulum (Littre's Hernia) is a rare phenomenon and representing 10% of all complications of Meckel's diverticulum (6, 7). Surgery is the mainstay of treatment. We herein present an extremely rare case of strangulated Meckel's diverticulum in a Ventral Hernia (Littre's Hernia) which only became evident during surgery. The ventral hernia developed following emergency appendicectomy operation done for acute appendicitis 5 months back. CASE REPORT: A 47 years old male patient was admitted through Emergency with complaints of diffuse abdominal pain with distension, intermittent vomiting, dyspepsia and anorexia for last 2 days. There was no history of loose motion, fever or bleeding per rectum. The patient had undergone emergency appendicectomy five months back. On clinical examination, tachycardia (110 / minute) was noted, blood pressure was 146/90 mm. of Hg and slightly dehydrated; a very tender irreducible lump was found at the region of scar (right lower paramedian incision) of previous appendicectomy operation; absent peristaltic sounds. The cough impulse was absent. Examination of other systems was unremarkable. Straight X-ray abdomen showed multiple distended bowel loops with fluid levels; Ultrasound scan suggested an obstructed loop of intestine at the hernia site. The diagnosis of strangulated ventral hernia was made and emergency surgery was planned after resuscitation with IV fluids and antibiotics. Abdomen was opened through the scar of the previous appendicectomy operation; careful and meticulous dissection revealed the hernia sac which was opened; foul smelling dirty fluid was mopped up and the constricting ring-like formation in the anterior sheath was cut. The sac contained the inflamed Meckel's diverticulum with a part (about 5 cm) of ileum. The whole of</p><div class="ds-work-card--button-container"><button class="ds2-5-button js-swp-download-button" data-signup-modal="{"location":"continue-reading-button--work-card","attachmentId":45666316,"attachmentType":"pdf","workUrl":"https://www.academia.edu/25366142/RARE_PRESENTATION_OF_A_CASE_OF_LITTRES_HERNIA_A_CASE_REPORT"}">See full PDF</button><button class="ds2-5-button ds2-5-button--secondary js-swp-download-button" data-signup-modal="{"location":"download-pdf-button--work-card","attachmentId":45666316,"attachmentType":"pdf","workUrl":"https://www.academia.edu/25366142/RARE_PRESENTATION_OF_A_CASE_OF_LITTRES_HERNIA_A_CASE_REPORT"}"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span>Download PDF</button></div></div></div></div><div data-auto_select="false" data-client_id="331998490334-rsn3chp12mbkiqhl6e7lu2q0mlbu0f1b" data-doc_id="45666316" data-landing_url="https://www.academia.edu/25366142/RARE_PRESENTATION_OF_A_CASE_OF_LITTRES_HERNIA_A_CASE_REPORT" data-login_uri="https://www.academia.edu/registrations/google_one_tap" data-moment_callback="onGoogleOneTapEvent" id="g_id_onload"></div><div class="ds-top-related-works--grid-container"><div class="ds-related-content--container ds-top-related-works--container"><h2 class="ds-related-content--heading">Related papers</h2><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="0" data-entity-id="84363251" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/84363251/An_unusual_complication_of_Meckel_s_diverticulum_Littre_s_hernia">An unusual complication of Meckel�s diverticulum: Littre�s hernia</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="44554028" href="https://independent.academia.edu/TijaniElHarroudi">Tijani El Harroudi</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Pan African Medical Journal, 2018</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"An unusual complication of Meckel�s diverticulum: Littre�s hernia","attachmentId":89412829,"attachmentType":"pdf","work_url":"https://www.academia.edu/84363251/An_unusual_complication_of_Meckel_s_diverticulum_Littre_s_hernia","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/84363251/An_unusual_complication_of_Meckel_s_diverticulum_Littre_s_hernia"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="1" data-entity-id="28848688" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/28848688/Incarceration_of_Meckels_diverticulum_through_a_ventral_incisional_defect_a_rare_presentation_of_Littres_hernia">Incarceration of Meckel's diverticulum through a ventral incisional defect: a rare presentation of Littre's hernia</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="36040743" href="https://independent.academia.edu/NikolaosSalemis">Nikolaos Salemis</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Hernia : the journal of hernias and abdominal wall surgery, 2009</p><p class="ds-related-work--abstract ds2-5-body-sm">Meckel&#39;s diverticulum is the most common congenital abnormality of the gastrointestinal tract and is the result of the incomplete obliteration of the omphalomesenteric duct. Herniation of Meckel&#39;s diverticulum is called Littre&#39;s hernia and is a rare occurrence. Herein is described an extremely rare case of incarcerated and strangulated Meckel&#39;s diverticulum through an incisional ventral defect in a 59-year-old female patient, who presented with manifestations of acute surgical abdomen. At emergency laparotomy, a strangulated small-bowel loop containing a Meckel&#39;s diverticulum was found, which had migrated through the subcutaneous tissues to the right iliac fossa, where a painful mass was palpated on admission. Segmental resection of the ischemic ileum was performed and the abdomen was closed without the use of a prosthetic mesh. Histopathological findings were suggestive of a true diverticulum containing heterotopic gastric mucosa.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Incarceration of Meckel's diverticulum through a ventral incisional defect: a rare presentation of Littre's hernia","attachmentId":49268939,"attachmentType":"pdf","work_url":"https://www.academia.edu/28848688/Incarceration_of_Meckels_diverticulum_through_a_ventral_incisional_defect_a_rare_presentation_of_Littres_hernia","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/28848688/Incarceration_of_Meckels_diverticulum_through_a_ventral_incisional_defect_a_rare_presentation_of_Littres_hernia"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="2" data-entity-id="86809962" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/86809962/Littr%C3%A9_s_hernia_a_rare_complication_of_Meckel_s_diverticulum">Littré’s hernia: a rare complication of Meckel’s diverticulum</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="228174816" href="https://independent.academia.edu/sumanrout5">suman rout</a></div><p class="ds-related-work--metadata ds2-5-body-xs">International Surgery Journal, 2017</p><p class="ds-related-work--abstract ds2-5-body-sm">Littré’s hernia is caused by the protrusion of Meckel’s diverticulum through an orifice in the abdominal wall. Meckel’s diverticulum is the most common congenital anomaly of the gastrointestinal tract that is generally asymptomatic and only manifests in a specific way when complications exist. An unusual complication of Meckel’s diverticulum is known as Littre’s hernia. It comprises less than 1% of all Meckel’s diverticulum. Usual sites of Littre hernia are right inguinal (50% of cases), umbilical hernia (20%), and femoral hernia (20%). We present a case of Littré’s hernia where we found a strangulated Meckel’s diverticulum in an inguinal hernia sac.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Littré’s hernia: a rare complication of Meckel’s diverticulum","attachmentId":91180778,"attachmentType":"pdf","work_url":"https://www.academia.edu/86809962/Littr%C3%A9_s_hernia_a_rare_complication_of_Meckel_s_diverticulum","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/86809962/Littr%C3%A9_s_hernia_a_rare_complication_of_Meckel_s_diverticulum"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="3" data-entity-id="85674971" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/85674971/Strangulated_internal_hernia_by_giant_Meckel_diverticulum_presented_as_acute_appendicitis">Strangulated internal hernia by giant Meckel diverticulum presented as acute appendicitis</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="164486196" href="https://independent.academia.edu/AndreaRovira3">Andrea Rovira</a></div><p class="ds-related-work--metadata ds2-5-body-xs">International Journal of Surgery Case Reports, 2015</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Strangulated internal hernia by giant Meckel diverticulum presented as acute appendicitis","attachmentId":90301170,"attachmentType":"pdf","work_url":"https://www.academia.edu/85674971/Strangulated_internal_hernia_by_giant_Meckel_diverticulum_presented_as_acute_appendicitis","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/85674971/Strangulated_internal_hernia_by_giant_Meckel_diverticulum_presented_as_acute_appendicitis"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="4" data-entity-id="82686907" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/82686907/A_Complex_Incarcerated_Incisional_Littre_s_Hernia_Containing_a_Necrotic_Meckel_s_Diverticulum_Rare_Case_Report">A Complex Incarcerated Incisional Littre’s Hernia Containing a Necrotic Meckel’s Diverticulum: Rare Case Report</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="223676759" href="https://independent.academia.edu/AliouZabeirou">Aliou Zabeirou</a></div><p class="ds-related-work--metadata ds2-5-body-xs">2021</p><p class="ds-related-work--abstract ds2-5-body-sm">Case Report Littre’s hernia is the protrusion of a Meckel’s diverticulum through a herniary orifice. This rare entity is often incidentally diagnosed intraoperatively during hernia repair surgery. Meckel’s diverticulum is the most common gastrointestinal tract congenital anomaly and its frequency is 2% in the general population. A Littre&#39;s hernia is usually found in femoral, inguinal and umbilical hernia. Meckel’s diverticulum presenting as the content of an incisional hernia is an exceptional situation, only few cases have been reported in the literature. We herein report the case of a 52-year-old female patient with a history hysterectomy who presented a complex incarcerated incisional Littre’s hernia containing a necrotic Meckel’s diverticulum discovered incidentally intraoperatively.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"A Complex Incarcerated Incisional Littre’s Hernia Containing a Necrotic Meckel’s Diverticulum: Rare Case Report","attachmentId":88312635,"attachmentType":"pdf","work_url":"https://www.academia.edu/82686907/A_Complex_Incarcerated_Incisional_Littre_s_Hernia_Containing_a_Necrotic_Meckel_s_Diverticulum_Rare_Case_Report","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/82686907/A_Complex_Incarcerated_Incisional_Littre_s_Hernia_Containing_a_Necrotic_Meckel_s_Diverticulum_Rare_Case_Report"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="5" data-entity-id="21262401" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/21262401/Littre_s_hernia_an_incarcerated_ventral_incisional_hernia_containing_a_strangulated_meckel_diverticulum_Report_of_a_case">Littre’s hernia, an incarcerated ventral incisional hernia containing a strangulated meckel diverticulum: Report of a case</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="42514970" href="https://independent.academia.edu/Hamdi%C3%96z%C5%9Fahin">Hamdi Özşahin</a><span>, </span><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="42383273" href="https://independent.academia.edu/BulentCitgez">Bulent Citgez</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Surgery Today, 2011</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Littre’s hernia, an incarcerated ventral incisional hernia containing a strangulated meckel diverticulum: Report of a case","attachmentId":41787888,"attachmentType":"pdf","work_url":"https://www.academia.edu/21262401/Littre_s_hernia_an_incarcerated_ventral_incisional_hernia_containing_a_strangulated_meckel_diverticulum_Report_of_a_case","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/21262401/Littre_s_hernia_an_incarcerated_ventral_incisional_hernia_containing_a_strangulated_meckel_diverticulum_Report_of_a_case"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="6" data-entity-id="63838018" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/63838018/Meckels_diverticulum_in_a_strangulated_femoral_hernia_Case_report_and_review_of_literature">Meckel's diverticulum in a strangulated femoral hernia. Case report and review of literature</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="201306169" href="https://independent.academia.edu/ErnestEllul">Ernest Ellul</a></div><p class="ds-related-work--metadata ds2-5-body-xs">2011</p><p class="ds-related-work--abstract ds2-5-body-sm">Meckel&#39;s diverticulum is the most common congenital abnormality of the gastrointestinal tract. In the vast majority of cases it remains asymptomatic throughout life but in about 5% of cases it gives rise to complications, namely, haemorrhage, intestinal obstruction and inflammation. A rare complication is being presented--a femoral hernia containing a strangulated Meckel&#39;s diverticulum. This is known as Littre&#39;s hernia, which often exhibits subtle variations from the norm in its presentation. Preoperative diagnosis of Littre&#39;s hernia containing Meckel&#39;s diverticulum is rather difficult; almost always, the strangulated diverticulum is first discovered during operation. The diverticulum was resected and the femoral canal closed by a polypropylene mesh plug. The patient underwent an uneventful recovery and was discharged home on the fourth postoperative day. Complications arising from Meckel&#39;s diverticulum usually occur at a young age, with the ectopic tissue pr...</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Meckel's diverticulum in a strangulated femoral hernia. Case report and review of literature","attachmentId":76128224,"attachmentType":"pdf","work_url":"https://www.academia.edu/63838018/Meckels_diverticulum_in_a_strangulated_femoral_hernia_Case_report_and_review_of_literature","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/63838018/Meckels_diverticulum_in_a_strangulated_femoral_hernia_Case_report_and_review_of_literature"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="7" data-entity-id="88449196" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/88449196/Internal_Hernia_and_Volvulus_in_an_Adult_Male_Caused_by_Meckel_s_Diverticulum_A_Case_Report">Internal Hernia and Volvulus in an Adult Male Caused by Meckel’s Diverticulum: A Case Report</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="137287282" href="https://independent.academia.edu/AthanasiosKatsaounis">Athanasios Katsaounis</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Medicina, 2021</p><p class="ds-related-work--abstract ds2-5-body-sm">Background: Meckel’s diverticulum is a common congenital abnormality of the gastrointestinal tract encountered in about 1–3% of the general population. Although most patients remain asymptomatic, a minority will experience serious complications such as acute abdomen, haemorrhage or obstructive ileus. Of all patients presenting with symptoms of obstruction due to Meckel’s diverticulum 7–18% is due to volvulus. Case Report: A 39-year-old male with multiple previous episodes of obstructive ileus presented with an acute abdomen. An exploratory laparotomy was performed in order to reveal the cause of the obstruction. An internal hernia with ileal volvulus and a Meckel’s diverticulum was found, which was later confirmed by histopathological examination. Conclusion: Meckel’s diverticulum is a rare cause of acute abdomen and obstructive ileus which should be considered when the symptoms date back to childhood. The difficulty of preoperative diagnosis dictates the need for exploratory laparo...</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Internal Hernia and Volvulus in an Adult Male Caused by Meckel’s Diverticulum: A Case Report","attachmentId":92421369,"attachmentType":"pdf","work_url":"https://www.academia.edu/88449196/Internal_Hernia_and_Volvulus_in_an_Adult_Male_Caused_by_Meckel_s_Diverticulum_A_Case_Report","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/88449196/Internal_Hernia_and_Volvulus_in_an_Adult_Male_Caused_by_Meckel_s_Diverticulum_A_Case_Report"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="8" data-entity-id="14453146" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/14453146/Internal_hernia_associated_with_Meckels_diverticulum_in_2_pediatric_patients">Internal hernia associated with Meckel's diverticulum in 2 pediatric patients</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="33391953" href="https://changgung.academia.edu/ShuhangNg">Shu-hang Ng</a></div><p class="ds-related-work--metadata ds2-5-body-xs">American Journal of Emergency Medicine, 2008</p><p class="ds-related-work--abstract ds2-5-body-sm">We report 2 pediatric cases of small bowel obstruction due to a Meckel&#39;s diverticulum complicated with internal hernia. Abdominal multidetector computed tomograms with multiple planar reconstructions revealed a bridge-like lesion with inconspicuous mucosal folds in the right lower quadrant formed by adhesion of the tip of Meckel&#39;s diverticulum with the adjacent mesentery, with ileal loops converging at the “bridge” and</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Internal hernia associated with Meckel's diverticulum in 2 pediatric patients","attachmentId":44137097,"attachmentType":"pdf","work_url":"https://www.academia.edu/14453146/Internal_hernia_associated_with_Meckels_diverticulum_in_2_pediatric_patients","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/14453146/Internal_hernia_associated_with_Meckels_diverticulum_in_2_pediatric_patients"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="9" data-entity-id="110758047" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/110758047/Incarcerated_ventral_epigastric_hernia_containing_a_strangulated_Meckels_diverticulum">Incarcerated ventral (epigastric) hernia containing a strangulated Meckel's diverticulum</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="109294283" href="https://independent.academia.edu/RodMateo">Rod Mateo</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Hernia, 1999</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Incarcerated ventral (epigastric) hernia containing a strangulated Meckel's diverticulum","attachmentId":108476247,"attachmentType":"pdf","work_url":"https://www.academia.edu/110758047/Incarcerated_ventral_epigastric_hernia_containing_a_strangulated_Meckels_diverticulum","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/110758047/Incarcerated_ventral_epigastric_hernia_containing_a_strangulated_Meckels_diverticulum"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div></div></div><div class="ds-sticky-ctas--wrapper js-loswp-sticky-ctas hidden"><div class="ds-sticky-ctas--grid-container"><div class="ds-sticky-ctas--container"><button class="ds2-5-button js-swp-download-button" data-signup-modal="{"location":"continue-reading-button--sticky-ctas","attachmentId":45666316,"attachmentType":"pdf","workUrl":null}">See full PDF</button><button class="ds2-5-button ds2-5-button--secondary js-swp-download-button" data-signup-modal="{"location":"download-pdf-button--sticky-ctas","attachmentId":45666316,"attachmentType":"pdf","workUrl":null}"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span>Download PDF</button></div></div></div><div class="ds-below-fold--grid-container"><div class="ds-work--container js-loswp-embedded-document"><div class="attachment_preview" data-attachment="Attachment_45666316" style="display: none"><div class="js-scribd-document-container"><div class="scribd--document-loading js-scribd-document-loader" style="display: block;"><img alt="Loading..." src="//a.academia-assets.com/images/loaders/paper-load.gif" /><p>Loading Preview</p></div></div><div style="text-align: center;"><div class="scribd--no-preview-alert js-preview-unavailable"><p>Sorry, preview is currently unavailable. You can download the paper by clicking the button above.</p></div></div></div></div><div class="ds-sidebar--container js-work-sidebar"><div class="ds-related-content--container"><h2 class="ds-related-content--heading">Related papers</h2><div class="ds-related-work--container js-related-work-sidebar-card" data-collection-position="0" data-entity-id="75159035" data-sort-order="default"><a class="ds-related-work--title js-related-work-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/75159035/Unusual_presentation_of_a_Meckel_s_diverticulum_A_case_report">Unusual presentation of a Meckel’s diverticulum: A case report</a><div class="ds-related-work--metadata"><a class="js-related-work-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="167393506" href="https://independent.academia.edu/Ant%C3%B3nioOliveira68">António Oliveira</a></div><p class="ds-related-work--metadata ds2-5-body-xs">International Journal of Surgery Case Reports, 2015</p><div 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