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]

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).1,2 [jamanetwork.com]

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]

• 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]

• Abdominal Pain

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

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

  Case Presentation A 62-year-old female presented in the emergency department with acute abdominal pain accompanied by fever and vomiting. [liebertpub.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]

• Scrotal Pain

  We report a case of Littre hernia in a boy who presented with acute scrotal pain and swelling. [ncbi.nlm.nih.gov]

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]

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]

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]

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]

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]

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]

An epidemiologic, population-based study. Ann Surg 220(4):564–569 Article PubMed PubMed Central CAS Google Scholar Muakkassa FF, Abouchedid C (1987) Littre’s hernia. [link.springer.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]

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]

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]

Hernia Pathophysiology Hernia Treatment Hernia Complications Last Updated: Feb 26, 2019 Written by Dr. Ananya Mandal Dr. Ananya Mandal is a doctor by profession, lecturer by vocation and a medical writer by passion. [news-medical.net]

However, these many factors are variable and inadequate for managing and understaning the complex pathophysiology of inguinal hernias. [inguinalhernias.weebly.com]

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]