Unusual form of inguinal hernia: A case report of Littré's hernia strangled

• Published in: International journal of surgery case reports Vol. 98; p. 107570
• Main Authors: Essobiyou, Tamassi Bertrand, Pali, Essomondjona, Keheou, Alexandre Palissam, Issa, Mohamed, Dosseh, Ekoue David
• Format: Journal Article
• Language: English
• Published: Elsevier Ltd 01.09.2022; Elsevier
• Subjects: Case Report; Complication; Diverticulum; Hernia; Inguinoscrotal; Littré; Meckel; Hernia; Inguinoscrotal; Diverticulum; Complication; Littré; Meckel
• ISSN: 2210-2612; 2210-2612
• DOI: 10.1016/j.ijscr.2022.107570

Littré's hernia is a rare condition related to Meckel's diverticulum. Its diagnosis is per operative and its treatment is surgical. We report a case of Littre's hernia strangled, discovered in a 67-year-old adult in Togo. A 67-year-old farmer was seen in the emergency room for a painful right inguinoscrotal swelling. The diagnosis of strangulated right inguinoscrotal hernia was retained and a surgical indication was given. Intraoperatively, a Meckel's diverticulum was found in the hernia sac and an intraoperative diagnosis of Littre's hernia was made. The patient underwent a T-shaped resection with terminal ileo-ileal anastomosis. The postoperative course was simple. Littré's hernia is a rare and exceptional disease whose preoperative diagnosis is difficult. Surgery is the therapeutic modality for this condition. •Meckel's diverticulum is rare but is the most common malformation of the digestive tract.•Littré's hernia is an exceptional form of Meckel's diverticulum.•Diagnosis is difficult preoperatively.•Management is surgical.