Littre Hernia - An Occasional Cause Of Acute Abdomen

Jurij Janež*

Received: January 26, 2018;   Published: February 05, 2018

DOI: 10.26717/BJSTR.2018.02.000725

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Abstract

Littre hernia is the protrusion of a Meckel diverticulum through a potential abdominal opening. It is named after a French physician and anatomist Alexis de Littre (July 17, 1654 – February 3, 1726), who reported an ileal diverticula and attributed them to traction [1]. Littre hernias are rare and develop more often in inguinal hernias than other types of abdominal wall hernias. Embryologically, Meckel diverticulum is the persistent intestinal part of the omphaloenteric duct through which the midgut communicates with the umbilical vesicle until the fifth week [2]. It occurs because the remnant of the omphalomesenteric canal, which should be closed by the 7th, 8th week of gestation, does not close properly. The diverticulum can contain ectopic gastric, duodenal or pancreatic tissue and is the most common congenital anomaly of the gastrointestinal tract with estimates of prevalence ranging from 0.3% to 3%. Generally, it remains asymptomatic and it is manifested by its complications, the most common of which are gastrointestinal bleeding, inflammation and obstruction [3].

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