Zeng Florent T, Seye Cheikh, Mbaye Papa A, Ndoye Ndèye A, Gueye Doudou, Wellé Ibrahima B, Diedhiou Youssouph, Ngom Gabriel
Pediatric Surgery, Albert Royer National Children's Hospital Center, Université Cheikh Anta Diop, Dakar, SEN.
Pediatric Surgery, Université Alioune Diop, Diourbel, SEN.
Cureus. 2024 May 17;16(5):e60510. doi: 10.7759/cureus.60510. eCollection 2024 May.
Littre's umbilical hernia (UH) is a rare disease, the third most common Littre hernia. Most case reports interest adult patients. We reported the case of a four-year-old girl with anemia and symptomatic UH, with an incidentally diagnosed Meckel's diverticulum (MD) containing pancreatic ectopic tissue. We reviewed case reports on Littre's umbilical hernia without a date or language restriction. Including our patient, 21 cases were reviewed, of whom 15 (71.4%) were adults and 13 (61.9%) were males. Complicated umbilical hernia occurred in 13 patients (61.9%) and symptomatic MD in two children (9.5%). Investigations preoperatively diagnosed two patients (9.5%). Eighteen patients (85.7%) underwent open surgery, Meckel's diverticulum removal was performed in 18 patients (85.7%), and primary umbilical hernia repair was performed in 16 (76.2%). Ectopic tissue was present in four patients (19.1%), and long-term outcomes were excellent in all patients.
里特脐疝（UH）是一种罕见疾病，是第三常见的里特疝。大多数病例报告涉及成年患者。我们报告了一例4岁贫血且有症状的脐疝女孩病例，其偶然诊断出含有胰腺异位组织的梅克尔憩室（MD）。我们检索了无日期和语言限制的关于里特脐疝的病例报告。包括我们的患者在内，共回顾了21例病例，其中15例（71.4%）为成年人，13例（61.9%）为男性。13例患者（61.9%）发生了复杂脐疝，2例儿童（9.5%）有症状性梅克尔憩室。术前检查确诊了2例患者（9.5%）。18例患者（85.7%）接受了开放手术，18例患者（85.7%）进行了梅克尔憩室切除术，16例（76.2%）进行了原发性脐疝修补术。4例患者（19.1%）存在异位组织，所有患者的长期预后均良好。
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