Skip to main content
Top
Published in: Hernia 2/2013

01-04-2013 | Case Report

Stenosis of the small intestine after reduction of strangulated Littre hernia in an infant

Authors: S. Višnjić, A. Car, R. Kralj

Published in: Hernia | Issue 2/2013

Login to get access

Abstract

Herniation and incarceration of a Meckel’s diverticulum in a hernial sac—Littre hernia—is a relatively uncommon surgical emergency. Segmental stenosis of small intestine after hernia reduction and consecutive intestinal obstruction is a similarly rare emergency. The combination of both these disorders is extremely uncommon at any age and especially during infancy. The obvious rarity of the condition, its subtle diagnostic features, the potentially ominous course of events and the age of patient indicate early surgery as a life-saving solution.
Literature
1.
go back to reference Mishalany HG, Pereyra R, Longerbeam JK (1982) Littre’s Hernia in infancy presenting as undescended testicle. J Pediatr Surg 17(1):67–69PubMedCrossRef Mishalany HG, Pereyra R, Longerbeam JK (1982) Littre’s Hernia in infancy presenting as undescended testicle. J Pediatr Surg 17(1):67–69PubMedCrossRef
2.
go back to reference Messina M, Ferrucci E, Meucci D, Di Maggio G, Molinaro F, Buonocore G (2005) Littre’s hernia in newborn infants: report of two cases. Pediatr Surg Int 21(6):485–487PubMedCrossRef Messina M, Ferrucci E, Meucci D, Di Maggio G, Molinaro F, Buonocore G (2005) Littre’s hernia in newborn infants: report of two cases. Pediatr Surg Int 21(6):485–487PubMedCrossRef
3.
go back to reference Galinier P, Bouali O, Juricic M, Smail N (2007) Focusing of inguinal hernia in children. Arch Pediatr 14(4):399–403PubMedCrossRef Galinier P, Bouali O, Juricic M, Smail N (2007) Focusing of inguinal hernia in children. Arch Pediatr 14(4):399–403PubMedCrossRef
4.
go back to reference Steinke W, Zellweger R (2000) Richter’s hernia and Sir Frederick Treves: original clinical experience, review, and historical overview. Ann Surg 232(5):710–718PubMedCrossRef Steinke W, Zellweger R (2000) Richter’s hernia and Sir Frederick Treves: original clinical experience, review, and historical overview. Ann Surg 232(5):710–718PubMedCrossRef
5.
go back to reference Citgez B, Yetkin G, Uludag M, Karakoc S, Akgun I, Ozsahin H (2011) Littre’s hernia, an incarcerated ventral incisional hernia containing a strangulated Meckel diverticulum: report of a case. Surg Today 41(4):576–578PubMedCrossRef Citgez B, Yetkin G, Uludag M, Karakoc S, Akgun I, Ozsahin H (2011) Littre’s hernia, an incarcerated ventral incisional hernia containing a strangulated Meckel diverticulum: report of a case. Surg Today 41(4):576–578PubMedCrossRef
6.
go back to reference Skandalakis PN, Zoras O, Skandalakis JE, Mirilas P (2006) Littre hernia: surgical anatomy, embryology, and technique of repair. Am Surg 72(3):238–243PubMed Skandalakis PN, Zoras O, Skandalakis JE, Mirilas P (2006) Littre hernia: surgical anatomy, embryology, and technique of repair. Am Surg 72(3):238–243PubMed
7.
go back to reference Narci A, Korkmaz M, Albayrak R, Sözübir S, Güvenç BH, Köken R, Demir T, Doğru O (2008) Preoperative sonography of nonreducible inguinal masses. J Clin Ultrasound 36(7):409–412PubMedCrossRef Narci A, Korkmaz M, Albayrak R, Sözübir S, Güvenç BH, Köken R, Demir T, Doğru O (2008) Preoperative sonography of nonreducible inguinal masses. J Clin Ultrasound 36(7):409–412PubMedCrossRef
9.
go back to reference Cherney LS (1958) Intestinal stenosis following strangulated hernia review of the literature and report of a case. Ann Surg 148(6):991–994PubMedCrossRef Cherney LS (1958) Intestinal stenosis following strangulated hernia review of the literature and report of a case. Ann Surg 148(6):991–994PubMedCrossRef
10.
go back to reference Hernanz-Schulman M (1999) Imaging of neonatal intestinal obstruction. Radiol Clin North Am 37(6):118–1163CrossRef Hernanz-Schulman M (1999) Imaging of neonatal intestinal obstruction. Radiol Clin North Am 37(6):118–1163CrossRef
11.
go back to reference Olson DE, Kim YW, Donnelly LF (2009) CT findings in children with Meckel diverticulum. Pediatr Radiol 39(7):659–663PubMedCrossRef Olson DE, Kim YW, Donnelly LF (2009) CT findings in children with Meckel diverticulum. Pediatr Radiol 39(7):659–663PubMedCrossRef
12.
go back to reference Muakkassa FF, Abouchedid C (1987) Littre’s hernia. N J Med 84:653–655PubMed Muakkassa FF, Abouchedid C (1987) Littre’s hernia. N J Med 84:653–655PubMed
13.
go back to reference Park JJ, Wolff BG, Tollefson MK, Walsh EE, Larson DR (2005) Meckel diverticulum: the mayo clinic experience with 1476 patients (1950–2002). Ann Surg 241(3):529–533PubMedCrossRef Park JJ, Wolff BG, Tollefson MK, Walsh EE, Larson DR (2005) Meckel diverticulum: the mayo clinic experience with 1476 patients (1950–2002). Ann Surg 241(3):529–533PubMedCrossRef
14.
go back to reference Sharma RK, Jain VK (2008) Emergency surgery for Meckel’s diverticulum. World J Emerg Surg 13(3):27–32CrossRef Sharma RK, Jain VK (2008) Emergency surgery for Meckel’s diverticulum. World J Emerg Surg 13(3):27–32CrossRef
15.
go back to reference Smart N, Immanuel A, Mercer-Jones M (2007) Laparoscopic repair of a Littre’s hernia with porcine dermal collagen implant (Permacol). Hernia 11(4):373–376PubMedCrossRef Smart N, Immanuel A, Mercer-Jones M (2007) Laparoscopic repair of a Littre’s hernia with porcine dermal collagen implant (Permacol). Hernia 11(4):373–376PubMedCrossRef
16.
go back to reference Comman A, Brunner SM, Gaetzschman P, Kipf B, Baierl W, Behrend M (2008) Incarcerated femoral Littre’s hernia-transperitoneal preperitoneal hernia repair (TAPP) and laparoscopic resection of the necrotic diverticulum. Surg Laparosc Endosc Percutan Tech 18(4):409–413PubMedCrossRef Comman A, Brunner SM, Gaetzschman P, Kipf B, Baierl W, Behrend M (2008) Incarcerated femoral Littre’s hernia-transperitoneal preperitoneal hernia repair (TAPP) and laparoscopic resection of the necrotic diverticulum. Surg Laparosc Endosc Percutan Tech 18(4):409–413PubMedCrossRef
Metadata
Title
Stenosis of the small intestine after reduction of strangulated Littre hernia in an infant
Authors
S. Višnjić
A. Car
R. Kralj
Publication date
01-04-2013
Publisher
Springer-Verlag
Published in
Hernia / Issue 2/2013
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-011-0861-6

Other articles of this Issue 2/2013

Hernia 2/2013 Go to the issue