Incidental finding of Littre’s hernia during inguinal hernioplasty. A case report.
Perzabal-Avilez CT, López-Jaime CA, Domíngez-González BB, Aragón-Prieto C. Incidental finding of Littre’s hernia during inguinal hernioplasty. A case report. Am J Med Surg. 2021; 3(2). 1-4.
From the department of general surgery/laparoscopy at Hospital General de Ciudad Juarez. Chihuahua, Mexico. Received on March 5, 2021. Accepted on March 10, 2021. Published on march 14, 2021.
Abstract: Littré's hernia is defined by the presence of a Meckel's diverticulum in a hernial sac. Embryologically, Meckel's diverticulum is the persistence of the intestinal part of the omphalomesenteric duct through which the midgut communicates with the umbilical vesicle until the 5th week of development. The cells that cover the yolk canal are pluripotent, it contains gastric, pancreatic, and less commonly hepatobiliary, duodenal, colonic, endometrial, or Brunner's glands.
A 63-year-old male patient is admitted to our institution sent from the outpatient clinic, scheduled for right inguinal plasty, with increased volume in the scrotal region, without changes in coloration and with no data on intestinal occlusion for one year of evolution. In the intraoperative period, Meckel's diverticulum was found inside the hernial sac incidentally and it was decided not to resect it. The treatment of Meckel's diverticulum is controversial and there is still no absolute criteria for the resection of an asymptomatic diverticulum.
Keywords: Littre’s hernia, abdominal wall hernia, abdominal hernia.