Souza Heitor Soares de, Felício Ana Carla, Berthier Guilherme
Programa de Residência Médica em Cirurgia Geral, Santa Casa de Campo Grande, Campo Grande, MS, BR.
Rev Col Bras Cir. 2009 Apr;36(2):183-4. doi: 10.1590/s0100-69912009000200019.
The authors describe a case of a 60-year-old male with a history of a mass and pain at the right inguinal and epigastric areas. He also reported symptoms of bowel obstruction. Physical examination revealed a mass at right inguinal area, which was not reducible or pulsatile. Surgical findings included hernial sac contents with loop of ileum with signs of ischemia and a Meckel's diverticulum. Histopathological examination showed herniation of the Meckel diverticulum -Littré hernia. The article discusses the history and the incidence of this rare form of hernia.
作者描述了一例60岁男性病例，该患者有右侧腹股沟区和上腹部肿块及疼痛病史。他还报告了肠梗阻症状。体格检查发现右侧腹股沟区有一肿块，不可回纳且无搏动。手术发现疝囊内容物为一段伴有缺血征象的回肠袢和一个梅克尔憩室。组织病理学检查显示为梅克尔憩室疝——里特疝。本文讨论了这种罕见疝的病史及发病率。
