Neonatal Perforation of Meckel Diverticulum: About Two Cases

Incarcerated Littre's hernia in a neonate presenting as enteroscrotal fistula

“…It is named after Johann Friedrich Meckel who reported it in 1809. [ 1 2 ] It is the most common gastrointestinal tract malformation (2% of the population). [ 1 ] Although most are asymptomatic, the typical presentation is under 2 years of age with painless bright red rectal bleeding and bowel obstruction/perforation/volvulus/intussusception.…”

“…[ 1 2 ] It is the most common gastrointestinal tract malformation (2% of the population). [ 1 ] Although most are asymptomatic, the typical presentation is under 2 years of age with painless bright red rectal bleeding and bowel obstruction/perforation/volvulus/intussusception. In neonates, the presentation is rare and is usually with small bowel obstruction due to associated Meckel's band obstruction.…”

“…[ 3 ] Enteroscrotal fistula (scrotal enterocutaneous fistula) is a rare complication due to the incarceration of an inguinal hernia followed by strangulation. [ 1 4 5 ]…”

“…Meckel's diverticulum presenting in the neonatal age group is rare. [ 1 ] It usually presents in neonates as small bowel obstruction, whereas perforation of Meckel's diverticulum is rare. [ 1 ] The presence of Meckel's diverticulum as a content of the hernia sac is called Littre's hernia.…”

“…[ 1 ] It usually presents in neonates as small bowel obstruction, whereas perforation of Meckel's diverticulum is rare. [ 1 ] The presence of Meckel's diverticulum as a content of the hernia sac is called Littre's hernia. [ 2 ] Here, we present an extremely rare case of incarcerated Littre's hernia in the right inguinal region presenting as enteroscrotal fistula in a neonate.…”