Department of Surgery, Manipal College of Medical Sciences, Pokhara, Kaski, Nepal.
Manipal Teaching Hospital, Pokhara, Kaski.
JNMA J Nepal Med Assoc. 2024 Feb 24;62(270):139-141. doi: 10.31729/jnma.8443.
Littre's hernia is an extremely rare type of hernia which has Meckel's diverticulum as its content. A 63-year-old male, presented to the emergency department with chief complaints of swelling and pain around the umbilicus. The patient was diagnosed with an incarcerated umbilical hernia. Following the emergency laparotomy, the intraoperative finding depicted an umbilical Littre's hernia. The patient underwent open Meckel's diverticulectomy with mesh repair. Preoperative diagnosis of Littre's hernia is unlikely due to its low incidence and lack of specific radiological and clinical findings, but the role of computed tomography scan and ultrasound are important in differentiating between strangulated or incarcerated bowel and omentum and in guiding the urgency of operative management.
case reports; hernia; Meckel diverticulum.
中文译文：
Littre 疝是一种极其罕见的疝，其内容物为 Meckel 憩室。一名 63 岁男性因脐周肿胀和疼痛为主诉就诊于急诊科。患者被诊断为脐疝嵌顿。在紧急剖腹手术后，术中发现为脐部 Littre 疝。患者行开放 Meckel 憩室切除术+网片修补术。由于发病率低，缺乏特定的影像学和临床发现，术前诊断 Littre 疝不太可能，但计算机断层扫描和超声在鉴别绞窄或嵌顿肠管和网膜以及指导手术治疗的紧迫性方面具有重要作用。
关键词：病例报告；疝； Meckel 憩室
