Hérnia de Littré causando obstrução intestinal

Souza, Heitor Soares de; Felício, Ana Carla; Berthier, Guilherme

doi:10.1590/s0100-69912009000200019

Cited by 4 publications

(3 citation statements)

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“…Meckel's diverticulum is a real diverticulum, located in the antimesenteric border of the ileum, approximately eighty centimeters from the ileocecal valve, and is the result of the incomplete obliteration of omphalomesenteric duct during the embryonic period(3). Initially described in 1808 by the German doctor Johann Meckel, it is considered the most common congenital anomaly of the gastrointestinal tract, affecting 2% of the population (6). Usually asymptomatic, it can cause various complications such as inflammation, obstruction, perforation and bleeding, mainly occurring before the second year of life in 60% of cases (6).…”

Section: Discussionmentioning

confidence: 99%

“…Initially described in 1808 by the German doctor Johann Meckel, it is considered the most common congenital anomaly of the gastrointestinal tract, affecting 2% of the population (6). Usually asymptomatic, it can cause various complications such as inflammation, obstruction, perforation and bleeding, mainly occurring before the second year of life in 60% of cases (6). The chances of complications diminish with the advancement of age.…”

Section: Discussionmentioning

confidence: 99%

“…Resulting from the incomplete closure of the omphalomesenteric duct during the embryonic period, Meckel's diverticulum is deemed as the most common malformation of the gastrointestinal tract, affecting 2% of the population (6). Usually asymptomatic, it presents complications in approximately 5% of cases and might cause inflammation, obstruction, perforation and bleeding (4).…”

Section: Introductionmentioning

confidence: 99%

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Littré Strangled Umbilical Hernia: Case Report

Silveira¹,

Freire²,

Garcia³

et al. 2020

ijSciences

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Littré hernia is considered to be an extremely rare surgical finding with few cases described in recent literature. It is characterized by the presence of Meckel's diverticulum in the interior of the hernia sac. The aim of this article is to report the case of an elderly patient intraoperatively diagnosed with Littré's strangled umbilical hernia, associated with the insertion of Treitz ligament in anomalous position.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Littré Strangled Umbilical Hernia: Case Report

Silveira¹,

Freire²,

Garcia³

et al. 2020

ijSciences

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Management of Littre Hernia—Case Report and Systematic Review of Case Reports

Răcăreanu

Preda

et al. 2023

JCM

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Littre hernia is a rare type of hernia in which a Meckel diverticulum is found in the hernia sac. Given the rare nature of this disease, little data on demographics and surgical management exists. In this article, we provide a case report of a strangulated inguinal Littre hernia and perform a systematic review of the literature. The PubMed database was searched on 5 March 2022, and all cases of Littre hernia in adults that had English abstracts or full-text were analyzed. Our primary objective was to evaluate the surgical management and outcomes of this particular type of hernia, and our secondary objectives were to assess demographic characteristics, presentation particularities, and recurrence rates. We identified 89 articles with 98 cases, including our own. Results show a high prevalence of complications described intraoperatively, with strangulation being present in up to 38.46% of patients. The laparoscopic approach was utilized in patients with femoral, inguinal, and umbilical hernias. The most commonly performed type of resection was MD resection, followed by bowel resection, while a minority of cases (5.48%) remained unresected. Mesh repair was more frequently performed in patients with MD resection. A mortality rate of 8.7% in patients who underwent bowel resection was found. A relatively high number of reports of ectopic tissue (21.21%), ulceration (12.12%), and tumors (9.09%) were found. The average follow-up was 19.5 ± 10.29 months, with no hernia recurrence. In conclusion, most cases are admitted in an emergency setting, and intestinal obstruction is frequently associated. A minimally invasive approach can be an option even for complicated hernias. MD resection or bowel resection is usually employed, depending on the extent of ischemic lesions. Patients undergoing bowel resection may be prone to worse outcomes.

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Hérnia De Littré Complicada Com Perfuração: Um Raro Caso

Costa¹,

Carvalho²,

Júnior³

2023

Rev. Foco

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A Hérnia de Littré é uma entidade clínica rara definida pela presença do divertículo de Meckel em um saco herniário. O divertículo de Meckel é a anormalidade congênita mais comum do trato intestinal, localizado na borda antimesentérica do íleo. Na maioria dos casos é assintomático, mas pode se apresentar com complicações. A hérnia de Littré é uma de suas complicações raras, ocorrendo em 1% dos casos. Sua apresentação é semelhante à de qualquer outra hérnia contendo o intestino, o que torna o diagnóstico pré-operatório improvável. Assim, o diagnóstico geralmente é realizado no intra-operatório. Todo cirurgião deveria conhecer e saber identificar esse tipo de hérnia, além de relatar tais casos visando enriquecer a literatura sobre o manejo de tal patologia.

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Hérnia de Littré causando obstrução intestinal

Cited by 4 publications

References 1 publication

Littré Strangled Umbilical Hernia: Case Report

Littré Strangled Umbilical Hernia: Case Report

Management of Littre Hernia—Case Report and Systematic Review of Case Reports

Hérnia De Littré Complicada Com Perfuração: Um Raro Caso

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