2016
DOI: 10.18359/rmed.2644
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Hernia de littré estrangulada. A propósito de un caso

Abstract: RESUMENLa Hernia de Littré es una patología rara de incidencia desconocida. Su sospecha clínica es infrecuente dada la inespecificidad de la sintomatología con la que debuta, por lo que su diagnóstico suele realizarse intraoperatoriamente. Se presenta el caso de un paciente con cuadro clínico de dolor abdominal agudo, masa no reductible y dolorosa en región inguinoescrotal derecha, a quien desde el ingreso se sospecha que presenta una hernia estrangulada. Tras una intervención quirúrgica de urgencia se realiza… Show more

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Cited by 4 publications
(6 citation statements)
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“…In children, most of the cases are usually umbilical [19], but our patient presented with a right scrotal inguinal LH, which correlates with the literature. Most cases of LH become symptomatic before two years of age, while in older children clinical findings might relate with those of an acute abdominal hernia [1]. Our subject presented with none of the gastrointestinal symptoms which are expected with an LH clinical presentation.…”
Section: Discussionmentioning
confidence: 74%
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“…In children, most of the cases are usually umbilical [19], but our patient presented with a right scrotal inguinal LH, which correlates with the literature. Most cases of LH become symptomatic before two years of age, while in older children clinical findings might relate with those of an acute abdominal hernia [1]. Our subject presented with none of the gastrointestinal symptoms which are expected with an LH clinical presentation.…”
Section: Discussionmentioning
confidence: 74%
“…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]. Our patient presented with an MD in the same anatomic location but without clinical features or complications, and it was an incidental finding during the right scrotal inguinal hernia repair.…”
Section: Discussionmentioning
confidence: 99%
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