Littre Hernia: A Very Rare Complication Of The Meckel Diverticulum

Abstract

Meckel diverticulum is the most common congenital anomaly of the gastrointestinal tract, occuring in 2-3 % of the population.It results from improper closure and absorption of the omphalomesenteric duct.The most common complications are obstruction of the small intestine, hemorrhage and diverticulitis.Meckel diverticulum can also be part of the contents of Littre hernia.We report a very rare case of Littre hernia which is a complication of Meckel diverticulum and presented with an irreducible mass in left inguinal site diagnosed preoperatively as incarcerated inguinal hernia. ©2008, Firat University, Medical Faculty.

Keywords

• -

Meckel divertikülünün oldukça nadir bir komplikasyonu: Littre fıtığı

Öz

Meckel divertikülü toplumun %2-3' ünde görülen gastrointestinal sistemin en sık doğumsal anomalisidir. Omfalomezenterik kanalın yanlış kapanması ve absorpsiyon kusuruna bağlı olarak gelişir. En sık komplikasyonları ince barsak tıkanıklığı, kanama ve divertikülittir. Meckel divertikülü ayrıca Littre fıtığı şeklinde karşımıza çıkabilir. Bu olgu sunumunda kliniğimize sol inguinal bölgede redükte edilemeyen kitle ile başvuran ve inkarsere kasık fıtığı düsünülerek opere edilen nadir bir Meckel divertikülü komplikasyonu olan Littre fıtığını sunuyoruz.©2008, Fırat Üniversitesi, Tıp Fakültesi.

Anahtar Kelimeler

• Meckel divertikülü, komplikasyon, Littre fıtığı

Kaynakça

1. Moore TC. Omhalomesenteric duct malformations. Semin Pediatr Surg 1996; 5:116-123
2. Lauschke H, Kaminski M, Stratmann H, et al. Littre’s hernia- clinical aspects and review of the history. Chirurg 1999; 70; 953- 956
3. Levy AD, Hobbs CM. Meckel diverticulum: radiologic features with pathologic correlation. Radiographics 2004; 24: 565- 587.Review.
4. Ellis H (1985) Meckel’s diverticulum; diverticulosis of small intestine; umblical fistula and tumors. In: Shwartz SI, Ellis H, Hussers WC (eds) Maingot’s Abdominal Operations. Appleton- Century-Crofts , Norwalk , Connecticut , pp1085-1104.
5. Margolies MN, Compton CC. A 23-year-old man with recurrent bouts of abdominal pain and vomiting. N Engl J Med 1989; 320: 171-178.
6. Schwartz MZ (1999) Meckel’s diverticulum and other omphalomesenteric duct remnants. In: Wyllie R, Hyams JS (eds) Pediatric gastrointestinal disease: pathophysiology, diagnosis, management. Philadelphia , Saunders, pp 483-488.
7. Brown CK, Olshaker JS. Meckel's diverticulum. Am J Emerg Med 1988; 6: 157-164
8. Cullen JJ, Kelly KA, Moir Cr, et al. Surgical management of Meckel’s diverticulum. Ann Surg 1994; 220: 564-569.

9. DiGiacomo JC, Cottone FC. Surgical treatment of Meckel’s diverticulum. South Med J 1993; 86: 671-675.
10. Martin JP, Connor PD, Charles K. Meckel’s diverticulum. Am Fam Physician.2000; 61: 1037-1042, 1044.Review.
11. Turgeon DK, Barnett JL. Meckel’s diverticulum. Am J Gastroenterol 1990; 85: 777-781
12. Fa-Si-Oen PR, Roumen RM, Croiset van Uchelen FA. Complications and management of Meckel’s diverticulum: a review. Eur J Surg 1999; 165: 674-678
13. Pantongrag-Brown L, Levine MS, Buetow PC, Buck JL, Elsayed AM. Meckel’s enteroliths: clinical, radiologic, and pathologic findings. AJR Am J Roentgenol 1996; 167:1447-1450
14. Perlman JA, Hoover HC, Safer PK. Femoral hernia with strangulated Meckel’s diverticulum(Littre’s hernia). Am J Surg 1980; 139: 286-289.
15. Sinha R. Bowel obstruction due to Littre hernia: CT diagnosis. Abdom imaging 2005; 30: 682-684.
16. Ravikumar KK, Khope SS, Ganapathi BP. Littre’s hernia in a child-an operative surprise(a case report). J Postgrad Med 1989; 35: 112-113
17. St-Vil D, Brandt ML, Panic S, et al. Meckel’s diverticulum in children: a 20 year review. J Pediatr Surg 1991; 26: 1289-1292.
18. Kabul Tarihi:29.11.2007