Noukpozounkou Sourou Bruno, Lawani Ismaïl, Elegbede Ogounrila Thomas Armel, Seto Djifid Morel, Assan Beaudelaire Romulus, Houegban Amoussou Sèdjro Clotaire Roméo, Koco Houenoukpo, Fiogbe Michel Armand
Clinique Universitaire de Chirurgie Pédiatrique CNHU-HKM, Cotonou, Bénin.
Département de Chirurgie, Faculté des Sciences de la Santé, Université d'Abomey-Calavi, Cotonou, Bénin.
Pan Afr Med J. 2018 Jul 17;30:214. doi: 10.11604/pamj.2018.30.214.14486. eCollection 2018.
Meckel's diverticulum is the most common congenital anomaly of the small bowel. Although it is a common anomaly in the general population, its occurrence in a hernial sac, in particular at the umbilicus, is uncommon and it is known as Littré's hernia. We here report the case of a 6-month female infant, admitted with painful irreducible umbilical swelling. The diagnosis of strangled umbilical hernia was made. Meckel inflammatory diverticulum in the hernial sac was detected intraoperatively. The patient underwent wedge resection of the diverticulum followed by the closure of the intestinal gap using continuous suture and parietal repair. Clinical diagnosis of Littré's hernia is difficult and therapeutic approach varies depending on the medical team.
梅克尔憩室是小肠最常见的先天性异常。尽管它在普通人群中是一种常见的异常情况,但它出现在疝囊内,尤其是在脐部,却并不常见,这种情况被称为利特雷疝。我们在此报告一例6个月大的女婴病例,该患儿因脐部疼痛性不可复性肿胀入院。诊断为绞窄性脐疝。术中在疝囊内发现梅克尔炎性憩室。患者接受了憩室楔形切除术,随后使用连续缝合关闭肠间隙并进行腹壁修补。利特雷疝的临床诊断困难,治疗方法因医疗团队而异。