Naeem Shahid, Khalid Ibrahim.
Littre`s hernia.
Professional Med J Jan ;12(4):479-81.

A 60 years old male, presented with vomiting, central abdominal pain and swelling over the right inguinal area for the last ten days. There was history of absolute constipation for the last two days. There was no history of loose motions, fever, bleeding per rectum or any previous operative procedure. He was not a known hypertensive or diabetic. On clinical examination, patient was tachycardiac (pulse 100 / min), BP 150/90 mm Hg and afebrile. Hydration was fair. Abdominal examination revealed irreducible, tender, locally hot, right inguinal hernia with absent bowel sounds. Diagnosis of strangulated indirect right inguinal hernia was made. Emergency operation was planned after resuscitation of patient with intravenous fluids and antibiotics. A longitudinal incision above and parallel to right inguinal ligament was made. Inguinal canal was opened, hernial sac identified and opened. Foul smelling fluid was mopped up and constriction ring over internal inguinal ring was divided. Hernial sac contained inflamed Meckel`s diverticulum (Littre`s Hernia) along with adjoining small gut. Meckel`s diverticulum was excised and gut repaired in two layers.

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