Aláez-Chillarón Ana Belén, Ramiro-Pérez Carmen, Rodríguez-Velasco Gloria, Calero-Amaro Alicia, Latorre-Fragua Raquel, Díez-Tabernilla Maria
Departamento de Cirugía General y Aparato Digestivo del Hospital Universitario Ramón y Cajal de Madrid, Madrid, Spain.
Cir Cir. 2012 Mar-Apr;80(2):186-8.
Littre's hernia is the presence of a Meckel diverticulum within an orifice in the abdominal wall. There are few cases published in the literature and its frequency is not well described.
We present the case of a 74-year-old patient who arrived at the emergency service with clinical signs of intestinal obstruction caused by an incarcerated right inguinal hernia. Emergency surgery was performed using a preperitoneal approach. Within the hernia, 5 cm of small bowel containing a Meckel diverticulum was found. Therefore, we decided to extirpate the diverticulum and repair the hernia placing a polypropylene mesh.
Meckel diverticulum is the persistence of the omphalomesenteric duct. It is usually asymptomatic, producing bleeding, infection or intestinal obstruction as the main symptoms.
Littre疝是指腹壁孔内存在梅克尔憩室。文献中报道的病例较少，其发生率尚无确切描述。
我们报告一例74岁患者，因右侧腹股沟嵌顿疝导致肠梗阻的临床症状而就诊于急诊。采用腹膜前入路进行急诊手术。在疝囊内发现一段5厘米长的含有梅克尔憩室的小肠。因此，我们决定切除憩室并使用聚丙烯补片修补疝。
梅克尔憩室是卵黄管的残留。它通常无症状，主要症状为出血、感染或肠梗阻。
