Littre’s hernia: a systematic review of the literature

Schizas, Dimitrios; Katsaros, Ioannis; Tsapralis, Dimitrios; Moris, Demetrios; Michalinos, Adamantios; Tsilimigras, Diamantis I.; Frountzas, Maximos; Machairas, Nikolaos; Troupis, Theodoros

doi:10.1007/s10029-018-1867-0

Cited by 46 publications

(91 citation statements)

References 36 publications

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“…Although Meckel's diverticulum is more frequently encountered in men, Littre hernias occur more often in women. More specifically, studies reported 39.6% males and 60.4% females with a mean age of 60 [3]. In our case, the patient was of a very high age (90 years).…”

Section: Discussionsupporting

confidence: 43%

“…Littre hernias are usually presented as inguinal, femoral and umbilical hernias [5]. However, studies include a higher incidence of femoral hernias that inguinal, 39.6% and 34% of the cases, respectively [3]. Although Meckel's diverticulum is more frequently encountered in men, Littre hernias occur more often in women.…”

Section: Discussionmentioning

confidence: 99%

“…A hernia containing Meckel's diverticulum is called a Littre's Hernia. French physician and anatomist Alexis de Littre (1700) reported ileal diverticula and attributed them to traction [3].…”

Section: Introductionmentioning

confidence: 99%

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Intestinal obstruction due to incarcerated Meckel’s diverticulum (Littre’s hernia)

L.M¹,

A²,

R³

et al. 2019

SCR

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A B S T R A C TMeckel's diverticulum it is the most common malformation of the gastrointestinal tract. Femoral hernia is the second most common inguinal hernia, and is characterized by incarceration and strangulation. We present a case of 90-year-old woman wiht strangulation of Meckel's diverticulum in a left-sided femoral hernia. The diverticulum was resected and hernia was repared wihtout complications. A Littre's hernia is a complication of Meckel's diverticulum and it is a result of its protrusion through a herniary orifice. Surgical resection is recommended for this type of hernia due to possible vascular complications, intestinal obstruction and herniation. Although usually Littre's hernia appears in the early ages of the life, we must not ignore their possible appearance in people who are aged. We present in this case a Littre's hernia in a very old woman.

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Section: Discussionsupporting

confidence: 43%

Section: Discussionmentioning

confidence: 99%

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Intestinal obstruction due to incarcerated Meckel’s diverticulum (Littre’s hernia)

L.M¹,

A²,

R³

et al. 2019

SCR

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“…The unusual presence of a Meckel's diverticulum in a hernia sac is described as a Littre's hernia. This hernia is inguinal in half of cases and umbilical or femoral in the other half [22,23]. The presence of ileum attached to the diverticulum is not unusual in addition to the persistent omphalo-mesenteric tract.…”

Section: Littre's Herniamentioning

confidence: 93%

Rare Presentations of Hernia

Yatawatta¹

2019

Hernia Surgery [Working Title]

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Rare types of hernias require the use of astute clinical judgment and high index of suspicion with supportive information obtained with cross sectional imaging. Having a clear understanding is important to the current surgeon as well as gynecologist. This chapter attempts to compile the common types of these rare hernias to discuss anatomical defects, imaging features and treatment options. Technical details of treatment are not offered for each type in detail due to limited scope of this text. The emphasis on clinical examination and judgment cannot be overstated and depending on cross sectional imaging alone for clinical diagnosis is discouraged. Introduction of minimally invasive surgery has changed the landscape for rare hernias with some new types being added-such as port site hernia-but mostly with less invasive treatment options being added to the armament. It is expected that laparoscopic hernia repair for these rare hernias will be soon the preferred modality of treatment.

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“…The herniation of a Meckel’s diverticulum was first described by the French Surgeon Aléxis Littré in 1700,2 and have less than 50 cases described in the literature over the past 300 years. The anatomical sites of a Littre hernia can vary, but according to the last biggest systematic review, most cases concerned incarcerated hernias: 39.6% were femoral and 34% inguinal 3…”

Section: Descriptionmentioning

confidence: 99%