Presentation of a case]. [wwww.unboundmedicine.com]

In this case, it presents through an umbilical defect [1-4]. [sciencerepository.org]

The aim of this study is to review the reported LH cases, present a new case and discuss the features of LH in childhood period. [ncbi.nlm.nih.gov]

Case Presentation A 16-year-old male patient presented to the Accident and Emergency department of Nishtar Medical Hospital, Multan, with a two-hour history of severe pain of abrupt onset in his left groin associated with nausea. [cureus.com]

• Inguinal Hernia

  A Littre's hernia is seen in inguinal hernia(50%), umbilical hernia (20%),femoral hernia(20%) and other hernias (10%) (Ref. 2). [jemds.com]

  Fig. 17.5 Diagrammatic representation of the classic inguinal hernia and inguinal hernia extending into the scrotum (scrotal hernia) 17.2.2 Etiology Inguinal hernias are congenital. [abdominalkey.com]

  Access full text Article Download Abstract HTML Metrics Related Content Preview this article: Meckel's diverticulum in a strangulated inguinal hernia (Littre's hernia), Page 1 of 1 < Previous page | Next page > /docserver/preview/fulltext/m_samj/24/ [journals.co.za]

  We are reporting a case of an incarcerated right femoral Littré's hernia 6 years after repair of a right inguinal hernia with the Lichtenstein technique. doi: http://dx.doi.org/10.4021/jmc823w Keywords Meckel's diverticulum; Littré's hernia; Incarcerated [journalmc.org]

  Conclusion An unusual complication of Meckel’s diverticulum, a strangulated Littre’s inguinal hernia is presented. [panafrican-med-journal.com]

• Fever

  Pain, fever, and vomiting are the main symptoms when intestinal obstruction is present [ 2 ]. The female patient in this case had pain, fever, and vomiting as the principal symptomatology that led her to the hospital. [liebertpub.com]

  In addition no B-symptoms (fever >39°C, drenching, especially nightly, sweats and unintentional weight loss of >10 of bodyweight in 6 months or less) or symptoms of infection were reported by the patient. [ncbi.nlm.nih.gov]

• Sepsis

  Unfortunately, after 3 days in the ICU she expired owing to multiple organ dysfunction and overwhelming sepsis. [annsaudimed.net]

  Simultaneously resuscitation and treatment of sepsis should also be undertaken with intravenous fluids and antibiotics. [statpearls.com]

  Management should be individualized according to appendix's inflammation stage, presence of abdominal sepsis, and comorbidity factors. [archintsurg.org]

  The importance of recognising this condition lies in the fact that a variable, yet significant, mortality has been associated with it (5.5%–30%), mostly due to peritonitis and sepsis [4]. [sciencerepository.org]

  Surgical intervention is required to prevent further complications (eg, perforation and sepsis. In general, patients with uncomplicated inguinal and abdominal wall hernias do well. [emedicine.medscape.com]

• Cough

  A reducible hernia imparts an expansile impulse on coughing. 2. [de.slideshare.net]

  In adults, a natural weakness or strain from heavy lifting, persistent coughing, difficulty with bowel movements or urination can cause the abdominal wall to weaken or separate. [utsurgery.com]

  […] and management of primary and most recurrent abdominal wall hernia Hernia Definiton – The abnormal protrusion of any tissue through another structure Characteristics Usually soft, reducible swelling a recognised anatomical site Often have demonstrable cough [busyspr.com]

  The significance of a ‘cough impulse’, or sudden bulging of the inguinal region with coughing, must be interpreted carefully. [surgwiki.com]

  May present with pain on coughing or straining, or an ache or a dragging sensation if large. Management If If >1.5 cm or in a child aged >4 years, usually requires repair. [patient.info]

• Abdominal Pain

  We report the case of a patient that consulted due to acute abdominal pain, irreducible and painful mass in the right inguinal region, who since admission was suspected of having a strangulated hernia. [scielo.org.co]

  A 23-year-old man with recurrent bouts of abdominal pain and vomiting. N Engl J Med. 1989;320:171-8. Schwartz MZ. Meckel’s diverticulum and other omphalomesenteric duct remnants. In: Wyllie R, Hyams JS, eds. [ijsurgery.com]

  pain, dyspepsia, and occasional anorexia with malaise. [jamanetwork.com]

  […] with abdominal pain for 2 days with no obstructive symptoms. [casereports.bmj.com]

• Constipation

  The obstructive group characterised by nausea, vomiting, peritonitis and constipation which if untreated leads to shock. [bmcsurg.biomedcentral.com]

  Elevated intra-abdominal pressure is associated with chronic cough, ascites, increased peritoneal fluid from biliary atresia, peritoneal dialysis or ventriculoperitoneal shunts, intraperitoneal masses or organomegaly, and constipation. [abdominalkey.com]

  CASE REPORT: A 40 yrs old male was admitted with complaints of diffuse abdominal pain, vomiting since four days and constipation since two days. There was no history of fever. He did not undergo any previous surgery. [jemds.com]

   Constipation.  Pregnancy.  Straining at micturation.  Severe muscular effort (lifting heavy objects).  Ascites - fluid may increase the size of an existing sac. 19. Myopectineal Orifice of Fruchaud 20. [de.slideshare.net]

  Case A 70-year-old woman presented to the emergency department with a 10-day history of constipation, abdominal pain and multiple episodes of vomiting. She had not passed stool or flatus for the past 10 days. [annsaudimed.net]

• Dyspepsia

  […] hernias, 50% will present through the inguinal orifice, and 30% at the umbilicus 3 ; up to 1972, just 38 cases of strangulated Meckel diverticulum in a femoral hernia had been reported. 4 Symptoms of Littre hernia consist of vague, crampy abdominal pain, dyspepsia [jamanetwork.com]

  Severe respiratory distress and dyspepsia may occur secondary to type IV paraesophageal hernia.[4] For more information about hiatal hernia click here Lumbar Hernia Lumbar triangles - Zyryab at English Wikipedia, via Wikimedia Commons[25] Petit's hernia [wikidoc.org]

• Acute Abdomen

  We present the unique case of an elderly woman with acute abdomen secondary to the coexistence of both these conditions. [semanticscholar.org]

  Both cases presented to the emergency department with ‘acute abdomen’. [sciencerepository.org]

• Abdominal Tenderness

  The septuagenarian case described herein presented with signs of obstruction ( i.e ., serious abdominal tenderness, rebound pain, and air-fluid levels). [wjgnet.com]

  On physical examination, he had a temperature of 38.8°C, diffuse abdominal tenderness, and a tender, irreducible right inguinal lump. Laboratory tests revealed mildly elevated white cell count. His supine abdominal radiography was unremarkable. [hkmj.org]

• Ulcer

  Complications manifest as ulceration-hemorrhage, small bowel obstruction, diverticulitis and perforation. [firattipdergisi.com]

  Peptic ulcer in Meckel's diverticulum; bleeding and perforation in two male siblings. Ann Surg. 1955 Dec;142(6):1021–1025. [PMC free article] [PubMed] [Google Scholar] Weinstein BM. [ncbi.nlm.nih.gov]

  In children the most common complication is gastrointestinal bleeding caused by ulceration due to the acid secretion by ectopic gastric mucosa. [thieme-connect.com]

  […] hematochezia. [6] The hemorrhage is a result of heterotopic gastric mucosa, leading to ulceration. [jscisociety.com]

  Those containing gastric mucosa may result in gastrointestinal bleeding caused by peptic ulceration of adjacent portions of intestine exposed to the hydrochloric acid produced within the diverticulum. [scielo.org.za]

• Seizure

  It is also higher in patients with ongoing increased intra-abdominal pressure, growth failure and malnutrition, prematurity, seizure disorder, or chronic respiratory problems. [emedicine.medscape.com]

Diagnosis Laboratory studies include the following: Stain or culture of nodal tissue Complete blood count (CBC) Electrolytes, blood urea nitrogen (BUN), and creatinine Urinalysis Lactate Imaging studies are not required in the normal workup of a hernia [emedicine.medscape.com]

In this research, we present the details of diagnosis, treatment, and frequency of LH cases with differentiated clinical properties. [turkjgastroenterol.org]

Get clear, concise descriptions and evidence-based treatment guidelines for a full range of clinical conditions, ranging from the common to the unusual. [books.google.com]

The diagnosis is unlikely to be made preoperatively and Surgery is the treatment of choice. We report a rare case of Littre’s hernia who presented with clinical signs of intestinal obstruction. [panafrican-med-journal.com]

Treatment is by repair of the hernia, and excision of the diverticulum if possible. If acute Meckel's diverticulitis is present, the acute inflammatory mass may have to be treated through a separate abdominal incision. [gpnotebook.com]

The accepted treatment is wedge resection of the diverticulum and repair of the ileum from within the sac 16. [firattipdergisi.com]

Prognosis After successful hernia repair, there is always the potential for recurrence. Modifiable patient risk factors for recurrence include elevated BMI, smoking, diabetes and steroid use. [statpearls.com]

The prognosis depends on the type and size of hernia, as well as on the ability to reduce risk factors associated with the development of hernias. [emedicine.medscape.com]

Etiology: hernia sac containing a Meckel’s diverticulum. First described by Littre in 1700. Richter described parietal hernia 1778. Bibliography A. Littre: Observations sur une nouvelle espèce de hernie. [whonamedit.com]

Each Mind Map covers a particular topic, disease, or condition; and includes the various aspects of a surgical disorder such as its pathophysiology, etiology, symptoms and signs, investigations, differential diagnosis, and management. [books.google.com]

Etiology: • Direct: weakness of the posterior floor of the inguinal canal (acquired). • Indirect: patent processus vaginalis (Congenital). 25. [de.slideshare.net]

Fig. 17.5 Diagrammatic representation of the classic inguinal hernia and inguinal hernia extending into the scrotum (scrotal hernia) 17.2.2 Etiology Inguinal hernias are congenital. [abdominalkey.com]

Methods Statistics Trigonometry Medical & Nursing Anatomy Anesthesiology Audiology Bacteriology Biochemistry Bioethics Biomedical Science Cardiology Cardiovascular Childbirth Chiropractic Dentistry Dermatology Diagnostic Imaging Drugs Endocrinology Epidemiology [brainscape.com]

J Chir 141: 268–269 Article CAS Google Scholar Cullen JJ, Kelly KA, Moir CR, et al (1994) Surgical management of Meckeldiverticulum: an epidemiologic, population-based study. [link.springer.com]

An epidemiologic, population-based study. Ann Surg 1994;220:564-9. 8. Fa-Si-Oen PR, Roumen RM, Croiset van Uchelen FA. Complications and management of Meckel′s diverticulum-a review. Eur J Surg 1999; 165:674-8. 9. [jscisociety.com]

An epidemiologic, population-based study. Ann Surg 1994; 220: 564-569 36 Behrns KE. Meckel diverticulum: „Too“ much chatter?. South Med J 2004; 97: 1029 37 Moses WR. Meckel’s diverticulum; report of two unusual cases. [thieme-connect.com]

Pediatric gastrointestinal disease: pathophysiology, diagnosis, management. Philadelphia, Saunders; 1999:483-8. Yamaguchi M, Takeuchi S, Awazu S. Meckel's diverticulum. Am J Surg. 1978;136:247-9. Zuniga D, Zupanec R. Littre hernia. [ijsurgery.com]

Each Mind Map covers a particular topic, disease, or condition; and includes the various aspects of a surgical disorder such as its pathophysiology, etiology, symptoms and signs, investigations, differential diagnosis, and management. [books.google.com]

Topics include: Surgical biology and pathology Surgical craft approaches and technologies Perioperative care Cardiovascular, pulmonary and renal pathophysiology Surgical infections Interventional radiology Trauma and head injuries Disorders of the thyroid [books.google.de]

In treatment of Littre hernia Meckel diverticulum should be resected and it is better to perform resection and anostomosis of ileal segment in these patients to prevent postoperative ileal stricture. [firattipdergisi.com]

[…] in nursing were management of the femoral incision and scrotum, maintenance of the drainage tubes, close observation of the wound and defecation, detection of any changes of abdominal symptoms, fever treatment, total parenteral nutrition and active prevention [en.cnki.com.cn]

[…] duodenal, pancreatic or colonic morphology has been reported to occur in 6 to 17% of Meckel's diverticulum, [1] gross evidence of which could be nodularity and inflammatory adhesions. [3] Such adhesions between the diverticulum and the hernial sac may prevent [medknow.tv]

It may prevent postoperative stricture of the resected segment. [12], [13] Conclusion In conclusion, MD can present as content of hernia in the inguinal region. [jscisociety.com]

A truss cannot prevent herniation through the femoral ring and has no place in the management of femoral hernia. Surgery involves opening and emptying the sac, and performing a herniorrhaphy to prevent recurrence. [surgwiki.com]