[Littré hernia: an unusual cause of intestinal obstruction.
BACKGROUND
Littre's hernia is the presence of a Meckel diverticulum within an orifice in the abdominal wall. There are few cases published in the literature and its frequency is not well described.


METHODS
We present the case of a 74-year-old patient who arrived at the emergency service with clinical signs of intestinal obstruction caused by an incarcerated right inguinal hernia. Emergency surgery was performed using a preperitoneal approach. Within the hernia, 5 cm of small bowel containing a Meckel diverticulum was found. Therefore, we decided to extirpate the diverticulum and repair the hernia placing a polypropylene mesh.


CONCLUSIONS
Meckel diverticulum is the persistence of the omphalomesenteric duct. It is usually asymptomatic, producing bleeding, infection or intestinal obstruction as the main symptoms.
Departamento de Cirugía General y Aparato Digestivo del Hospital Universitario Ramón y Cajal de Madrid, Madrid, Spain. anabelenalaez@hotmail.com
Ana Belén
AB
Aláez-Chillarón
Carmen
C
Ramiro-Pérez
Gloria
G
Rodríguez-Velasco
Alicia
A
Calero-Amaro
Raquel
R
Latorre-Fragua
Maria
M
Díez-Tabernilla
D000368:Aged; D006552:Hernia, Inguinal / Q000150:complications*; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology*; D008297:Male; D008467:Meckel Diverticulum / Q000150:complications*