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22 years old presenting with pain abdomen

Findings

  • Axial and sagittal images reveal herniation of blind ending tubular structure arising from ileal loop into umbilical hernia.
  • Incidentally detected transient jejuno-jejunal intussusception in left lumbar region.

Diagnosis

Littre hernia

Summary

Littre hernias are hernias containing Meckel diverticulum and are usually associated with inguinal or femoral hernias. Littre hernia is a rare complication of Meckel diverticulum. Herniation of Meckel diverticulum into umbilical orifice is rare. Management includes repair of hernial defect and resection of complicated Meckel diverticulum. Uncomplicated Meckel diverticulum can be left alone.

Further reads

Prakash S, Sunil J, Shivakumar M, Shaikh O, Balasubramanian G. Incidental Meckel’s Diverticulum in Umbilical Hernia. Cureus. 2023 Jun 28;15(6):e41115. doi:10.7759/cureus.41115.

Case Courtesy

Case Courtesy

Dr KV Prasad Reddy
MD FRCR DNB
Director, Vistarad.

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