A Littre hernia is a very rare type of hernia which occurs when a Meckel's diverticulum protrudes through a defect in the abdominal wall. It is named after French physician Alexis de Littre.
This hernia may occur in a number of anatomical locations, typically in the inguinal region (50%), umbilicus (20%) or femoral canal (20%). More recently, this type of hernia has been reported for the first time by Australian surgeon Dr Sarofim in a parastomal location.
Symptoms include pain and swelling at the site of protrusion, but may progress into bowel strangulation, necrosis or perforation. Treatment is repair of the hernia (usually reinforced with mesh) and surgical excision of the Meckel's diverticulum.
References
- Weerakkody, Yuranga. "Littre hernia | Radiology Reference Article | Radiopaedia.org". Radiopaedia. Retrieved 2023-02-08.
- Skandalakis, Panagiotis N.; Zoras, Odyseas; Skandalakis, John E.; Mirilas, Petros (March 2006). "Littre hernia: surgical anatomy, embryology, and technique of repair". The American Surgeon. 72 (3): 238–243. doi:10.1177/000313480607200309. ISSN 0003-1348. PMID 16553126. S2CID 22424914.
- Sarofim, Mina; Ashrafizadeh, Amir; Kabir, Shahrir (2022-10-27). "A new hernia: Meckel's diverticulum within a parastomal hernia". Journal of Surgical Case Reports. 2022 (10): rjac398. doi:10.1093/jscr/rjac398. ISSN 2042-8812. PMC 9612959. PMID 36324763.
- Schizas, D.; Katsaros, I.; Tsapralis, D.; Moris, D.; Michalinos, A.; Tsilimigras, D. I.; Frountzas, M.; Machairas, N.; Troupis, T. (2019-02-01). "Littre's hernia: a systematic review of the literature". Hernia. 23 (1): 125–130. doi:10.1007/s10029-018-1867-0. ISSN 1248-9204. PMID 30506463. S2CID 54434227.