Uncommon Cause of Intestinal Obstruction: Umbilical Littré’s Hernia

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Author Info

Quiroga Coronado Raquel Frigerio Pamela Mendoza Frías Gloria Isela Domínguez Saavedra Gastón Garza Gustavo

Corresponding Author

Frigerio Pamela
Surgical Residente, Hospital Universitario de Saltillo Universidad Autónoma de Coahuila, Mexico

A B S T R A C T

Introduction: Meckel's diverticulum occurs in 0.3-3% of the world population. This is the embryological remnant due to the lack of obliteration of the omphalomesenteric duct at the fifth week of gestation. The complication of Meckel's diverticulum that protrudes through any hernial orifice is called Littré's hernia. In this case, it presents through an umbilical defect. Objective: Report a case of umbilical Hernia Littré given its low incidence. Case Report: A 26-year-old male with no significant history. The physical examination revealed an umbilical defect measuring 1 cm in diameter with no evidence of incarceration or strangulation. Conservative decompressive management was established, nasogastric tube with initial expenditure of 400 milliliters of gastrobiliary content; however, after 12 hours there was no clinical improvement. Surgical management was decided, an exploratory laparotomy was performed, as findings of little free fluid with an inflammatory appearance, 1 cm umbilical defect with a hernial sac containing a Meckel diverticulum. Conclusion: The presentation of these clinical cases enriches the literature and gives us the opportunity to identify more of these rare clinical cases.

Article Info

Article Type

Case Report

Publication history

Received: Mon 11, Jan 2021
Accepted: Tue 26, Jan 2021
Published: Fri 19, Feb 2021

Copyright

© 2023 Frigerio Pamela. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2021.02.07