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

Abstract

HighlightsMeckel’s diverticulum is the most common congenital anomaly of the gastrointestinal tract, occurring in approximately 1–4% of the population; been the duplication of it exceedingly rare.This is the first case of a simultaneous strangulated Littrés hernia with duplication of a Meckeĺ’s diverticulum

Simultaneous Presentation of a Right Littre’s Hernia and a Left Amyand’s Hernia in a School-Aged Patient

“…It is a consequence of the persistence of the omphalomesenteric duct, which is usually obliterated after the fifth week of gestation [13, 14], with an incidence of 0.3-3% [8, 15, 16]. MD is 3-4 times more prevalent in males [17] and silent in up to 90% of cases [15]. In children, MD is typically located in the antimesenteric border of the distal ileum, 30-60 cm distal to Bauhin's valve [17].…”

“…MD is 3-4 times more prevalent in males [17] and silent in up to 90% of cases [15]. In children, MD is typically located in the antimesenteric border of the distal ileum, 30-60 cm distal to Bauhin's valve [17]. Intestinal bleeding presents in about 55% of pediatric patients and the most common cause is related to the heterotopic gastric mucosa of the MD, implicated in 90% of cases [1, 15, 16].…”

“…Whenever LH and MD are symptomatic, a surgical intervention is required. Diverticulectomy and intestinal resection with primary anastomosis are recommended when there is inflammation at the base of the diverticula, presence of palpable ectopic tissue, ischemia, or perforation [14, 17]. Our subject remained asymptomatic and did not have any complications, and therefore, resection or anastomosis was not deemed necessary.…”

Double trouble: first report of duplicated Meckel's diverticulitis with perforation

“…Intestinal duplications are a rare congenital malformation that can occur in any part of the gastrointestinal tract . Occurrences of duplicate Meckel's diverticuli are rare, with only 13 previous cases reported in the literature …”

“…4 Occurrences of duplicate Meckel's diverticuli are rare, with only 13 previous cases reported in the literature. 3,5,6 One of those cases 3 reported perforation involving one of the duplicate Meckel's diverticuli. Our patient presented with duplicate Meckel's diverticuli with both being inflamed, gangrenous and associated with perforation.…”