Edit concept Question Editor Create issue ticket

Littre Hernia

Littré Hernia


Presentation

  • 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]
  • We report a case of Littre hernia in a boy who presented with acute scrotal pain and swelling.[ncbi.nlm.nih.gov]
  • We present the case of a 74-year-old patient who arrived at the emergency service with clinical signs of intestinal obstruction caused by an incarcerated right inguinal hernia. Emergency surgery was performed using a preperitoneal approach.[ncbi.nlm.nih.gov]
  • Presentation of a case].[wwww.unboundmedicine.com]
  • Significant stenosing atherosclerosis was present in all three major epicardial coronary arteries, but with no histological evidence of acute or chronic ischemic myocardial damage.[ncbi.nlm.nih.gov]
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
  • An abdominal plain film showed intestinal obstruction and soft tissue mass in the left inguinaoscrotal region [Figure 2]. On the basis of these findings, he underwent emergence inguinoscrotal exploration through left inguinal incision.[docksci.com]
Hemophilia A
  • Stay up to date with new chapters on Clotting Disorders and Hemophilia, Patient-Centered Care, Health Disparities and Diversity in Emergency Medicine, Cost-Effectiveness Analysis, Antibiotic Recommendations for Empirical Treatment of Selected Infectious[books.google.com]
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]
  • 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]
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]
Acute Abdomen
  • We present the unique case of an elderly woman with acute abdomen secondary to the coexistence of both these conditions.[semanticscholar.org]
Periumbilical Pain
  • pain  Recurrent episodes of intestinal obstruction  Physical examination  May reveal palpable mass of herniated bowel loops with localized tenderness  Diagnostic studies (BE, fluoro) most helpful during symptomatic period  Otherwise, hernia may[learningradiology.com]
Cecal Disease
  • . , Source MeSH Adult Appendix Cecal Diseases Hernia, Inguinal Humans Male Meckel Diverticulum Pub Type(s) Case Reports English Abstract Journal Article Language spa PubMed ID 1308298 Citation Alvarez Ahumada, C A., et al.[wwww.unboundmedicine.com]
Heart Disease
  • Death was attributed to small intestinal obstruction due to direct inguinal herniation (and infarction) of a Meckel diverticulum (a Littre hernia), complicating ischemic heart disease.[ncbi.nlm.nih.gov]
  • The patient had a past medical history of ischaemic heart disease, with a previous myocardial infarction, and a degree of congestive cardiac failure as well as being in atrial fibrillation. He also suffered from Paget’s disease.[nzma.org.nz]
Irritability
  • As there were no apparent peritoneal irritation findings, right-sided incarcerated inguinal hernia was reduced and the patient was scheduled for an elective herniorrhaphy.[ncbi.nlm.nih.gov]
  • This increase in the frequency of bowel movements could be attributed to partial occlusion of intestinal lumen(as occurs in a Ritcher's hernia) leading to irritation and inflammation of bowel.[jemds.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]

Workup

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]
  • 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 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]
  • The key points 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[en.cnki.com.cn]
  • Chapters, "Information Patients need from the Surgeon", and "Famous International Hernia Centers and Clinics" give information about the latest treatment of Hernia.[books.google.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]

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]
  •  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]
  • Etiology Richter hernia gets its name from August Gottlich Richter who described this hernia in 1785. Before this date, there were reported cases of a fascial defect that involved the anti-mesenteric portion of the bowel wall.[statpearls.com]
  • New prospects in the etiology of groin hernias. Chiurgie. 1999;124:288-297. Richards AT, Quinn TH, Fitzgibbons RJ Jr. Abdominal wall hernias. In: Greenfield LJ, ed. Surgery. 3rd ed. Philadelphia, PA: Lippincott Williams & Wilkins, 2001:1185-1223.[appliedradiology.com]

Epidemiology

  • 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]
  • 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]
  • 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]
Sex distribution
Age distribution

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 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]
  • In addition, the CT scan centre of our allied hospitals was located a considerable distance from emergency; hence we proceeded with the surgery to prevent further complications.[annsaudimed.net]

Ask Question

5000 Characters left Format the text using: # Heading, **bold**, _italic_. HTML code is not allowed.
By publishing this question you agree to the TOS and Privacy policy.
• Use a precise title for your question.
• Ask a specific question and provide age, sex, symptoms, type and duration of treatment.
• Respect your own and other people's privacy, never post full names or contact information.
• Inappropriate questions will be deleted.
• In urgent cases contact a physician, visit a hospital or call an emergency service!