A Rarely Encountered Case: A Neuroendocrine Tumor in Strangulated Littre’s Hernia

Erdoğan, Ahmet; Bostanoğlu, Akın

doi:10.14744/tjtes.2019.30378

Cited by 2 publications

(4 citation statements)

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“…The presence of heterotopic tissue, ulceration, or tumors in available Littre hernia reports is also very high (42.42%). Additionally, Erdogan reports the presence of neoplasia in the MD on the pathology report [19]. Moreover, an MD with a strangulated or incarcerated hernia may have an insufficient blood supply, which may lead to diverticulitis or the formation of mesodiverticular bands.…”

Section: Discussionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

“…Full-list of articles included in the analysis can be found in the accompanying spreadsheet and in the references section [2,9,11,14,[16][17][18][19].…”

Section: Appendix Amentioning

confidence: 99%

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

Răcăreanu

Preda

et al. 2023

JCM

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“…A Littre's hernia is an exceedingly uncommon condition that develops when Meckel's diverticulum protrudes through a herniary orifice [ 1 ]. Since the first case description by Alexis de Littre in the 18th century, it has been recommended that all cases, regardless of how they were diagnosed or treated, should be published [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

“…A LH is characterized by the existence of Meckel's diverticulum within a hernia sac [ 1 ]. According to published literature, the incidence of LH is <0.1 % of all the reported complicated hernias, thereby rendering it an extremely rare entity [ 2 ].…”

Section: Introductionmentioning

confidence: 99%