Presentation
Presentation of a case]. [wwww.unboundmedicine.com]
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]
Only three patients of this series presented faecal fistulas. The history of rectal bleeding or repetitive abdominal pain was not present in any of the cases in this review. The complication rate of LH in this series is about 38.5%. (27/70). [afrjpaedsurg.org]
In 1719 Alexis Littre described a hernia bearing his name; at present, two kinds are recognized: combined Littre hernia (a Meckel diverticulum accompanied by any other viscus in the hernia sac) and true Littre hernia (a solitary Meckel diverticulum). [jamanetwork.com]
Entire Body System
- Anorexia
[…] 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, and occasional anorexia [jamanetwork.com]
- Soft Tissue Mass
Ultrasonography study confirmed an incarcerated hernia and intestinal tissue echo was detected [Figure 1]. An abdominal plain film showed intestinal obstruction and soft tissue mass in the left inguinaoscrotal region [Figure 2]. [docksci.com]
Gastrointestinal
- Abdominal Pain
pain, dyspepsia, and occasional anorexia with malaise. [jamanetwork.com]
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]
Description A 67-year-old man with a history of bilateral inguinal hernioplasty presented to the emergency department with abdominal pain for 2 days with no obstructive symptoms. [casereports.bmj.com]
Case Presentation A 62-year-old female presented in the emergency department with acute abdominal pain accompanied by fever and vomiting. [liebertpub.com]
- Rectal Bleeding
Incarcerted hernia or history of rectal bleed in the past may give a clue about its presence. Resection and anastomosis do not increase morbidity and mortality. Financial support and sponsorship Nil. [jscisociety.com]
The history of rectal bleeding or repetitive abdominal pain was not present in any of the cases in this review. The complication rate of LH in this series is about 38.5%. (27/70). [afrjpaedsurg.org]
However, Littre's hernia should be suspected in the presence of rectal bleeding, irreducibility or a hernial faecal fistula. [2], [3] Heterotropic tissue of gastric, duodenal, pancreatic or colonic morphology has been reported to occur in 6 to 17% of [jpgmonline.com]
The principal symptom is rectal bleeding, sometimes massive, due to the presence of gastric mucosa [5]. The incidence of Littre's hernia is unknown. Only few cases are found in the literature. [ispub.com]
- 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]
- Periumbilical Pain
[…] hernia Protrusion of organs or parts thereof, through an abnormal opening, from their natural place in a cavity Autopsy incidence May remain clinically silent if easily reducible Larger ones symptomatic Vague epigastric discomfort Colicky periumbilical [learningradiology.com]
- Cecal Disease
Authors +Show Affiliations, Servicio de Cirugía General del Hospital Central Norte de Pemex., Source MeSH Adult Appendix Cecal Diseases Hernia, Inguinal Humans Male Meckel Diverticulum Pub Type(s) Case Reports English Abstract Journal Article Language [wwww.unboundmedicine.com]
Skin
- Sweating
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]
Urogenital
- Scrotal Pain
We report a case of Littre hernia in a boy who presented with acute scrotal pain and swelling. [ncbi.nlm.nih.gov]
Workup
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]
Treatment
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 Littres 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]
It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs. [sharecare.com]
Surgery is the treatment of choice for MD. The most usual treatment of Littre's hernia is wedge resection of the MD [6]. Repair of the Littre's hernia consists of local diverticulum resection and herniorrhaphy. [ispub.com]
Prognosis
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
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]
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]
90% of all strangulated hernias Contain stomach, colon, small bowel, omentum, spleen May be asymptomatic for months or years following injury Left (90–98%) > right (2– 10%) Traumatic Diaphragmatic Hernia General Traumatic Diaphragmatic Hernia Etiology [learningradiology.com]
Epidemiology
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]
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]
Epidemiology Richter hernias typically occur in elderly patients between 60-80 years old; however, they can theoretically manifest at any age, and pediatric case reports exist. There is a slightly increased incidence in the female population. [statpearls.com]
Inguinal hernia Epidemiology: Male : Female • by 9 to 1 ratio young adults mostly have indirect inguinal hernia. As age of patient increases, the incidence of direct hernias increases. 18. [de.slideshare.net]
Traumatic abdominal wall hernia: Epidemiology and clinical implications. J Trauma. 2006;61:1058-1061. Back To Top [appliedradiology.com]
Pathophysiology
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]
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]
However, these many factors are variable and inadequate for managing and understaning the complex pathophysiology of inguinal hernias. [inguinalhernias.weebly.com]
Prevention
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]
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]
[…] 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 [jpgmonline.com]