Gawrieh Bardisan, Shater Waseem, Deeb Mohammad Ali, Ghuzlan Alaa, Kassab Hanna, Salhab Nabila
Pediatric Surgery Department, Tishreen University Hospital, Lattakia, Syria.
J Surg Case Rep. 2021 Sep 30;2021(9):rjab421. doi: 10.1093/jscr/rjab421. eCollection 2021 Sep.
This report examines the case of a 3-year-old child presenting with a 1-month history of swelling in the right groin. The boy had no associated nausea or vomiting, was afebrile and had had normal bowel movements. Attempts to reduce the swelling were only partially successful. Ultrasonography indicated the presence of turbid hydrocele and a hernia sac containing an intestinal loop. Accordingly, the patient underwent an urgent herniotomy. Exposing the hernia sac revealed 5 cm Meckel's diverticulum, and the base of the diverticulum was resected from the inside of the hernia sac. The boy was discharged 4 days after the operation in good clinical condition. The presented case highlights the need to consider Littre's hernia when dealing with partially reduced inguinal hernias in children with no general signs or evidence of intestinal obstruction.
本报告探讨了一名3岁儿童的病例，该患儿右腹股沟肿胀1个月。该男孩无相关恶心或呕吐症状，无发热，排便正常。尝试复位肿胀仅部分成功。超声检查显示存在浑浊的鞘膜积液和一个含有肠袢的疝囊。因此，该患者接受了紧急疝修补术。暴露疝囊后发现一个5厘米的梅克尔憩室，从疝囊内部切除憩室底部。术后4天，该男孩临床状况良好出院。本病例强调，在处理无肠梗阻一般体征或证据的儿童部分复位腹股沟疝时，需要考虑里特疝。
