Images in clinical medicine | Volume 37, Article 164, 15 Oct 2020 | 10.11604/pamj.2020.37.164.10735

Littre's Hernia in a Tunisian emergency department: a rare image.

Najla Feriani, Hassen Ben Ghezala

Corresponding author: Hassen Ben Ghezala, Service Universitaire des Urgences et de Réanimation Médicale, Hôpital Régional de Zaghouan, Faculté de médecine de Tunis, Tunis, Tunisie

Received: 14 Sep 2016 - Accepted: 31 Oct 2016 - Published: 15 Oct 2020

Domain: Clinical medicine

Keywords: Meckel diverticulum, complication, Littre hernia

©Najla Feriani et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Najla Feriani et al. Littre's Hernia in a Tunisian emergency department: a rare image.. Pan African Medical Journal. 2020;37:164. [doi: 10.11604/pamj.2020.37.164.10735]

Available online at: https://www.panafrican-med-journal.com/content/article/37/164/full

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Images in clinical medicine

Littre's Hernia in a Tunisian emergency department: a rare image.

Littre's hernia in a Tunisian emergency department: a rare image

Najla Feriani1, Hassen Ben Ghezala2,&

 

1Service Universitaire de Chirurgie Générale, Hôpital Régional de Zaghouan, Faculté de Médecine de Tunis, Tunis, Tunisie, 2Service Universitaire des Urgences et de Réanimation Médicale, Hôpital Régional de Zaghouan, Faculté de Médecine de Tunis, Tunis, Tunisie

 

 

&Corresponding author
Hassen Ben Ghezala, Service Universitaire des Urgences et de Réanimation Médicale, Hôpital Régional de Zaghouan, Faculté de médecine de Tunis, Tunis, Tunisie

 

 

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Meckel diverticulum is known as the most common congenital anomaly of the gastrointestinal tract. It can also be part of the contents of Littre's hernia which was described for the first time in 1700 by Alexis Littre. We report in this work a very rare case of Littre hernia which presented with an irreducible mass in the left inguinal site, diagnosed preoperatively as incarcerated inguinal hernia. A 33 years old male, without any past medical history attended the emergency department of our hospital for acute abdominal pain in relation with an incarcerated inguinal hernia. He had fever, nausea and vomiting. The patient had no history of previous abdominal surgeries. Abdominal examination revealed a visible, soft and painful mass in the right groin. It was non-pulsatile and not reducible. A diagnosis of an incarcerated inguinal hernia was made in the emergency room and the patient was admitted immediately in the surgery department. Laboratory tests were normal. No imaging examinations were required. A large indirect hernia sac was dissected revealing a Meckel's diverticulum approximately 12 cm in length. A small amount of necrotic adipose tissue and purulent material was present. A simple diverticulectomy was performed and a Lichtenstein tension-free mesh repair was used to close the inguinal defect. The patient recovered without complication and was discharged from hospital after three days of management. He was seen in follow up ten days later and remained well.

 

Figure 1: peri operative image showing a large hernia sac containing at dissection a Meckel's diverticulum: a small amount of necrotic adipose tissue was present

 

 

 

 

 

 

 

 

Images in clinical medicine

Littre's Hernia in a Tunisian emergency department: a rare image.

Images in clinical medicine

Littre's Hernia in a Tunisian emergency department: a rare image.

Images in clinical medicine

Littre's Hernia in a Tunisian emergency department: a rare image.

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Key words

Meckel diverticulum

Complication

Littre hernia

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Littre's Hernia in a Tunisian emergency department: a rare image.