Littre´s hernia: a case presentation

Abstract

We report a case of Littre’s hernia in a 64-year old woman, which is a very uncommon condition, consists on an hernia whose content corresponds to a remnant of the omphalomesenteric duct, called Meckel’s diverticulum, that results from incomplete obliteration of the vitelline duct between the fifth and sixth weeks of human gestation as the bowel settles into its permanent position within the abdominal cavity. The diagnosis was made from the clinical findings and supported by diagnostic auxiliaries such as ultrasound and computed axial tomography (CAT). The intervention performed was a pre-peritoneal laparoscopic inguinal transabdominal repair (TAPP). The fact that this condition was diagnosed until the sixth decade of age and that the patient was a woman enhances the rarity of this case.

Keywords

• littre’s hernia
• meckel’s diverticulum
• incarcerated hernia