A rare case of a strangulated Littre’s hernia with Meckel’s diverticulum duplication. Case report and literature review

• Published in: International journal of surgery case reports Vol. 33; pp. 58 - 61
• Main Authors: López-Lizárraga, C.R., Sánchez-Muñoz, M.P., Juárez-López, G.E., Pelayo-Orozco, L., De la Cerda-Trujillo, L.F., Ploneda-Valencia, C.F.
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Ltd 01.01.2017; Elsevier
• Subjects: Case Report; Double Meckel’s diverticulum; Meckel’s diverticulum duplication; Strangulated Littre’s hernia; Surgery; Strangulated Littre’s hernia; Double Meckel’s diverticulum; Meckel’s diverticulum duplication; strangulated Littre’s hernia; double Meckel’s diverticulum
• DOI: 10.1016/j.ijscr.2017.02.032
• ISSN: 2210-2612

•Meckel’s diverticulum is the most common congenital anomaly of the gastrointestinal tract, occurring in approximately 1–4% of the population; been the duplication of it exceedingly rare.•This is the first case of a simultaneous strangulated Littrés hernia with duplication of a Meckeĺ’s diverticulum The Meckel’s diverticulum (MD) is the most common congenital anomaly of the gastrointestinal tract present in approximately 1–4% of the population; the MD duplication is exceedingly rare with only a few reports of it. Here we present the firs case of a strangulated Littre’s hernia with MD duplication. A 30-year-old male presented to the emergency room with clinical signs of small bowel obstruction, at physical examination, a right incarcerated inguinal hernia with erythema was found. We did a laparotomy, and two MD were found, one in the sac with ischemia, and the other 90cm from the Bahuińs valve. A diverticulectomy of the ischemic diverticulum was done, and the other MD was left in place; the inguinal region was repaired with a Lichtenstein technique. The complications of the MD are 3–4 times more frequent in men, been an intestinal obstruction, hemorrhage, diverticulitis, ulceration, and perforation. A Littrés hernia is when the MD is found in the sac; this is seen in the inguinal region in 50% of the cases. The management of a Littre’s hernia is the resection of the MD; it could be done by an intestinal resection or by a diverticulectomy accordingly to the Park criteria. As to our knowledge, this is the first case of an incarcerated Littre’s hernia with duplication of a Meckel’s diverticulum.