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Littre’s hernia in children
  1. Avilash Sahu,
  2. Deepti Naik,
  3. Srikanth Chinthala and
  4. Santosh Kumar Mahalik
  1. Pediatric Surgery, All India Institute of Medical Sciences - Bhubaneswar, Bhubaneswar, Orissa, India
  1. Correspondence to Dr Santosh Kumar Mahalik; pedsurg_santosh{at}aiimsbhubaneswar.edu.in

Abstract

Meckel’s diverticulum is a common congenital anomaly of the gastrointestinal (GI) system, which remains asymptomatic unless some complications occur. Littre’s hernia is a rare complication of Meckel’s diverticulum, where it herniates into the hernial sac. It is difficult to diagnose this condition preoperatively. Strangulation and incarceration are common, which may lead to necrosis and perforation of Meckel’s diverticulum. In this report, we describe the successful management of a boy in his early childhood presenting with an irreducible and strangulated right inguinal hernia, which turned out to be Littre’s hernia on exploration. Additionally, we conducted a literature review using Google Scholar and PubMed to identify publications on Littre’s hernia in paediatric patients.

  • Congenital disorders
  • Infant health
  • Paediatric Surgery

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Footnotes

  • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation of the results, drawing original diagrams and algorithms, and critical revision for important intellectual content: AS, SKM: drafting of the text, critical revision. DN, CS assisted in surgery, sourcing and editing of the clinical image. The following authors gave final approval of the manuscript: AS, DN, CS, SKM. SKM, the senior author, is the guarantor and is responsible for the overall content.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.