Meckel's Diverticulum Incarcerated in an Umbilical Hernia - Case Report

Kurnicki, Jacek; Wrzesińska, Natalia; Kabala, Przemysław

doi:10.2478/v10035-011-0061-1

Cited by 5 publications

(5 citation statements)

References 8 publications

(2 reference statements)

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“…Its mean length is 5 cm with extremes ranging from 0.5 cm to 85 cm. These diverticulum's characters are crucial given their role in the choice of treatment procedure [ 6 , 7 ]. Moreover, two distinct subtypes of LH can be defined: the more common “true LH” contains only MD and should be distinguished from Richter's hernia, where part of the intestinal wall is strangulated in the hernial sac, but no MD is involved.…”

Section: Discussionmentioning

confidence: 99%

“…Regardless of the location of LH or age of patient, symptoms, including abdominal pain, distention, nausea, and vomiting, make headway more gradually than those of other complicated hernias. Sometimes there is a bump next to the hernia site due to a local inflammatory response [ 6 , 7 , 10 ]. In strangulated HL, obstruction is not always present.…”

Section: Discussionmentioning

confidence: 99%

“…If only the MD is “trapped” and the rest of the intestine is free, the obstruction would therefore be absent. Peritonitis is very rare but diverticulum perforation leading to a fecal fistula which can progress to an enterocutaneous fistula remains possible [ 3 , 6 ]. In emergency cases, even abdominal ultrasound, and computed tomography (CT) cannot reveal the right diagnosis.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Umbilical Littre hernia: A rare case report of an acute abdomen

Khalifa,

Belaid,

Ghannouchi

et al. 2024

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Umbilical Littre hernia: A rare case report of an acute abdomen

Khalifa,

Belaid,

Ghannouchi

et al. 2024

International Journal of Surgery Case Reports

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“…After selection, 21 patients (including ours) were considered in the review [10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29]. There were 15 adults (71.4%) and six children (28.6%), with a mean age of 38.2 (±27) years, ranging from 24 weeks to 85 years.…”

Section: Discussionmentioning

confidence: 99%

Littre’s Umbilical Hernia in a Child: A Case Report and Scoping Review

Zeng,

Seye,

Mbaye

et al. 2024

Cureus

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Littre’s umbilical hernia (UH) is a rare disease, the third most common Littre hernia. Most case reports interest adult patients. We reported the case of a four-year-old girl with anemia and symptomatic UH, with an incidentally diagnosed Meckel’s diverticulum (MD) containing pancreatic ectopic tissue. We reviewed case reports on Littre’s umbilical hernia without a date or language restriction. Including our patient, 21 cases were reviewed, of whom 15 (71.4%) were adults and 13 (61.9%) were males. Complicated umbilical hernia occurred in 13 patients (61.9%) and symptomatic MD in two children (9.5%). Investigations preoperatively diagnosed two patients (9.5%). Eighteen patients (85.7%) underwent open surgery, Meckel’s diverticulum removal was performed in 18 patients (85.7%), and primary umbilical hernia repair was performed in 16 (76.2%). Ectopic tissue was present in four patients (19.1%), and long-term outcomes were excellent in all patients.

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“…Detailed description or notation of each case of umbilical Littre's hernia were lacking in our systematic review of the literature [3] which searched PubMed using "Meckel's diverticulum, umbilical hernia" and "Littre's hernia, umbilical" for the period from 1955 to February 2020. Articles not written in English or referring to children or autopsy specimens were excluded, and 6 articles were identified [4][5][6][7][8][9] (Table 1). No reports describing laparoscopic treatment similar to this case were identified, with laparotomy performed in all cases.…”

Section: Discussionmentioning

confidence: 99%

Two-stage laparoscopic surgery for incarcerated umbilical Littre’s hernia in severely obese patient: a case report

Ariyoshi¹,

Sakai²,

Umemura

et al. 2020

surg case rep

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Background Littre's hernia containing Meckel's diverticulum is an extremely rare disease. We report an adult case of two-stage laparoscopic surgery for incarceration of Meckel's diverticulum in an umbilical hernia. Case presentation The case involved a 23-year-old, severely obese man with BMI 36.5 kg/m2. After experiencing effusion from the umbilicus for 2 months, and was referred from a local dermatologist. We diagnosed an infected urachal remnant, and antibiotic therapy was performed first. Surgery was planned for after the infection disappeared. During follow-up, effusion from the umbilicus took on an intestinal fluid-like character, so we diagnosed small intestinal cutaneous fistula and performed surgery. Under laparoscopy, we found a Meckel's diverticulum incarcerated in an umbilical hernia. The diverticulum was resected first, and the incarceration was released. The umbilicus was infected, so we planned repair of the umbilical hernia in a second surgery. The postoperative course was uneventful and the patient was discharged on postoperative day 5. One month after the initial operation, we confirmed that there were no signs of infection, and performed umbilical hernia repair using the laparoscopic intraperitoneal onlay mesh (IPOM) repair. Postoperative progress was uneventful and he was discharged on postoperative day 4. No recurrence or infection was observed until 8 months postoperatively. Conclusions We performed dissection of the diverticulum and umbilical hernia repair for the incarcerated umbilical Littre's hernia under laparoscopy in a severely obese patient. The risk of mesh infection seems to be avoidable using a two-stage surgery, and the risk of recurrence can be reduced using the IPOM repair compared with simple suture closure.

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Meckel's Diverticulum Incarcerated in an Umbilical Hernia - Case Report

Cited by 5 publications

References 8 publications

Umbilical Littre hernia: A rare case report of an acute abdomen

Umbilical Littre hernia: A rare case report of an acute abdomen

Littre’s Umbilical Hernia in a Child: A Case Report and Scoping Review

Two-stage laparoscopic surgery for incarcerated umbilical Littre’s hernia in severely obese patient: a case report

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