title: Incarceration of Meckel's diverticulum in a left paraduodenal Treitz' hernia.
abstract: Meckel's diverticula incarcerated in a hernia were first described anecdotally by Littré, a French surgeon, in 1700. Meckel, a German anatomist and surgeon, explained the pathophysiology of this disease 100 years later. In addition, a congenital paraduodenal mesocolic hernia, known as a Treitz hernia, is a rare cause of small bowel obstruction. These hernias are caused by an abnormal rotation of the primitive midgut, resulting in a right or left paraduodenal hernia. We treated a patient presenting with pain and diagnosed extraluminal air in the abdomen after a computed tomography examination. We performed a laparotomy and found a combination of these two seldomly occurring congenital diseases, incarceration and perforation of Meckel's diverticulum in a left paraduodenal hernia. We performed a thorough review of the literature, and this report is the first to describe a patient with a combination of these two rare conditions. We considered the case regarding the variety of terminology as well as the treatment options of these conditions.
authors: Christoph Gerdes, Oke Akkermann, Volker Krüger, Anna Gerdes, Berthold Gerdes, Department of General Surgery, Johannes Wesling Klinikum Minden, G-32429 Minden, Germany.
authors: Christoph
authors: C
authors: Gerdes
authors: Christoph Gerdes, Oke Akkermann, Volker Krüger, Anna Gerdes, Berthold Gerdes, Department of General Surgery, Johannes Wesling Klinikum Minden, G-32429 Minden, Germany.
authors: Oke
authors: O
authors: Akkermann
authors: Christoph Gerdes, Oke Akkermann, Volker Krüger, Anna Gerdes, Berthold Gerdes, Department of General Surgery, Johannes Wesling Klinikum Minden, G-32429 Minden, Germany.
authors: Volker
authors: V
authors: Krüger
authors: Christoph Gerdes, Oke Akkermann, Volker Krüger, Anna Gerdes, Berthold Gerdes, Department of General Surgery, Johannes Wesling Klinikum Minden, G-32429 Minden, Germany.
authors: Anna
authors: A
authors: Gerdes
authors: Christoph Gerdes, Oke Akkermann, Volker Krüger, Anna Gerdes, Berthold Gerdes, Department of General Surgery, Johannes Wesling Klinikum Minden, G-32429 Minden, Germany.
authors: Berthold
authors: B
authors: Gerdes
keywords: Incarceration; Left paraduodenal hernia; Littré’s hernia; Meckel’s diverticulum; Perforation; Treitz’ hernia