腹股沟疝的罕见类型：绞窄性里脱氏疝病例报告
Unusual form of inguinal hernia: A case report of Littré's hernia strangled.
作者信息
Essobiyou Tamassi Bertrand, Pali Essomondjona, Keheou Alexandre Palissam, Issa Mohamed, Dosseh Ekoue David
机构信息
General Surgery Department, Dapaong Regional Hospital Center, Dapaong, Togo.
General surgery department, Sylvanus Olympio University Hospital Center, Lome, Togo.
出版信息
Int J Surg Case Rep. 2022 Sep;98:107570. doi: 10.1016/j.ijscr.2022.107570. Epub 2022 Aug 31.
INTRODUCTION
Littré's hernia is a rare condition related to Meckel's diverticulum. Its diagnosis is per operative and its treatment is surgical. We report a case of Littre's hernia strangled, discovered in a 67-year-old adult in Togo.
CASE REPORT
A 67-year-old farmer was seen in the emergency room for a painful right inguinoscrotal swelling. The diagnosis of strangulated right inguinoscrotal hernia was retained and a surgical indication was given. Intraoperatively, a Meckel's diverticulum was found in the hernia sac and an intraoperative diagnosis of Littre's hernia was made. The patient underwent a T-shaped resection with terminal ileo-ileal anastomosis. The postoperative course was simple.
CONCLUSION
Littré's hernia is a rare and exceptional disease whose preoperative diagnosis is difficult. Surgery is the therapeutic modality for this condition.
引言
里特疝是一种与梅克尔憩室相关的罕见病症。其诊断需在手术中进行，治疗方式为手术治疗。我们报告一例在多哥一名67岁成年人中发现的绞窄性里特疝病例。
病例报告
一名67岁农民因右侧腹股沟阴囊疼痛性肿胀被送至急诊室。诊断为右侧腹股沟阴囊绞窄性疝，并给出了手术指征。术中，在疝囊内发现一个梅克尔憩室，术中诊断为里特疝。患者接受了T形切除术及末端回肠-回肠吻合术。术后过程顺利。
结论
里特疝是一种罕见且特殊的疾病，术前诊断困难。手术是治疗该病的方式。
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