A rare case of a strangulated Littre's hernia with Meckel's diverticulum duplication. Case report and literature review.

Autor:	López-Lizárraga CR; Division of Surgery, Hospital Civil de Guadalajara 'Dr. Juan I. Menchaca', Salvador Quevedo y Zubieta street #750, Guadalajara, Jalisco, Mexico. Electronic address: lopezlizarraga43@yahoo.com., Sánchez-Muñoz MP; Department of Bariatric Surgery, Hospital Civil de Guadalajara 'Dr. Juan I. Menchaca', Mexico., Juárez-López GE; Department of Pathology, Hospital San Javier, Guadalajara, Jalisco, Mexico., Pelayo-Orozco L; Department of Surgery, Hospital IMSS, 180 Guadalajara, Jalisco, Mexico., De la Cerda-Trujillo LF; Department of General Surgery, Hospital Civil de Guadalajara 'Dr. Juan I. Menchaca', Mexico., Ploneda-Valencia CF; Department of General Surgery, Hospital Civil de Guadalajara 'Dr. Juan I. Menchaca', Mexico. Electronic address: plonecef@gmail.com.
Jazyk:	angličtina
Zdroj:	International journal of surgery case reports [Int J Surg Case Rep] 2017; Vol. 33, pp. 58-61. Date of Electronic Publication: 2017 Feb 21.
DOI:	10.1016/j.ijscr.2017.02.032
Abstrakt:	Introduction: The Meckel's diverticulum (MD) is the most common congenital anomaly of the gastrointestinal tract present in approximately 1-4% of the population; the MD duplication is exceedingly rare with only a few reports of it. Here we present the firs case of a strangulated Littre's hernia with MD duplication. Presentation of Case: A 30-year-old male presented to the emergency room with clinical signs of small bowel obstruction, at physical examination, a right incarcerated inguinal hernia with erythema was found. We did a laparotomy, and two MD were found, one in the sac with ischemia, and the other 90cm from the Bahuińs valve. A diverticulectomy of the ischemic diverticulum was done, and the other MD was left in place; the inguinal region was repaired with a Lichtenstein technique. Discussion: The complications of the MD are 3-4 times more frequent in men, been an intestinal obstruction, hemorrhage, diverticulitis, ulceration, and perforation. A Littrés hernia is when the MD is found in the sac; this is seen in the inguinal region in 50% of the cases. The management of a Littre's hernia is the resection of the MD; it could be done by an intestinal resection or by a diverticulectomy accordingly to the Park criteria. Conclusion: As to our knowledge, this is the first case of an incarcerated Littre's hernia with duplication of a Meckel's diverticulum. (Copyright © 2017 The Author(s). Published by Elsevier Ltd.. All rights reserved.)
Databáze:	MEDLINE
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