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Management of Littre Hernia—Case Report and Systematic Review of Case Reports

Littre hernia is a rare type of hernia in which a Meckel diverticulum is found in the hernia sac. Given the rare nature of this disease, little data on demographics and surgical management exists. In this article, we provide a case report of a strangulated inguinal Littre hernia and perform a system...

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Autores principales: Răcăreanu, Marian, Preda, Silviu Daniel, Preda, Agnesa, Strâmbu, Victor Dan Eugen, Radu, Petru Adrian, Bratiloveanu, Tudor Constantin, Pătrașcu, Ștefan, Marinescu, Daniela, Sapalidis, Konstantinos, Șurlin, Valeriu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10253297/
https://www.ncbi.nlm.nih.gov/pubmed/37297940
http://dx.doi.org/10.3390/jcm12113743
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author Răcăreanu, Marian
Preda, Silviu Daniel
Preda, Agnesa
Strâmbu, Victor Dan Eugen
Radu, Petru Adrian
Bratiloveanu, Tudor Constantin
Pătrașcu, Ștefan
Marinescu, Daniela
Sapalidis, Konstantinos
Șurlin, Valeriu
author_facet Răcăreanu, Marian
Preda, Silviu Daniel
Preda, Agnesa
Strâmbu, Victor Dan Eugen
Radu, Petru Adrian
Bratiloveanu, Tudor Constantin
Pătrașcu, Ștefan
Marinescu, Daniela
Sapalidis, Konstantinos
Șurlin, Valeriu
author_sort Răcăreanu, Marian
collection PubMed
description Littre hernia is a rare type of hernia in which a Meckel diverticulum is found in the hernia sac. Given the rare nature of this disease, little data on demographics and surgical management exists. In this article, we provide a case report of a strangulated inguinal Littre hernia and perform a systematic review of the literature. The PubMed database was searched on 5 March 2022, and all cases of Littre hernia in adults that had English abstracts or full-text were analyzed. Our primary objective was to evaluate the surgical management and outcomes of this particular type of hernia, and our secondary objectives were to assess demographic characteristics, presentation particularities, and recurrence rates. We identified 89 articles with 98 cases, including our own. Results show a high prevalence of complications described intraoperatively, with strangulation being present in up to 38.46% of patients. The laparoscopic approach was utilized in patients with femoral, inguinal, and umbilical hernias. The most commonly performed type of resection was MD resection, followed by bowel resection, while a minority of cases (5.48%) remained unresected. Mesh repair was more frequently performed in patients with MD resection. A mortality rate of 8.7% in patients who underwent bowel resection was found. A relatively high number of reports of ectopic tissue (21.21%), ulceration (12.12%), and tumors (9.09%) were found. The average follow-up was 19.5 ± 10.29 months, with no hernia recurrence. In conclusion, most cases are admitted in an emergency setting, and intestinal obstruction is frequently associated. A minimally invasive approach can be an option even for complicated hernias. MD resection or bowel resection is usually employed, depending on the extent of ischemic lesions. Patients undergoing bowel resection may be prone to worse outcomes.
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spelling pubmed-102532972023-06-10 Management of Littre Hernia—Case Report and Systematic Review of Case Reports Răcăreanu, Marian Preda, Silviu Daniel Preda, Agnesa Strâmbu, Victor Dan Eugen Radu, Petru Adrian Bratiloveanu, Tudor Constantin Pătrașcu, Ștefan Marinescu, Daniela Sapalidis, Konstantinos Șurlin, Valeriu J Clin Med Review Littre hernia is a rare type of hernia in which a Meckel diverticulum is found in the hernia sac. Given the rare nature of this disease, little data on demographics and surgical management exists. In this article, we provide a case report of a strangulated inguinal Littre hernia and perform a systematic review of the literature. The PubMed database was searched on 5 March 2022, and all cases of Littre hernia in adults that had English abstracts or full-text were analyzed. Our primary objective was to evaluate the surgical management and outcomes of this particular type of hernia, and our secondary objectives were to assess demographic characteristics, presentation particularities, and recurrence rates. We identified 89 articles with 98 cases, including our own. Results show a high prevalence of complications described intraoperatively, with strangulation being present in up to 38.46% of patients. The laparoscopic approach was utilized in patients with femoral, inguinal, and umbilical hernias. The most commonly performed type of resection was MD resection, followed by bowel resection, while a minority of cases (5.48%) remained unresected. Mesh repair was more frequently performed in patients with MD resection. A mortality rate of 8.7% in patients who underwent bowel resection was found. A relatively high number of reports of ectopic tissue (21.21%), ulceration (12.12%), and tumors (9.09%) were found. The average follow-up was 19.5 ± 10.29 months, with no hernia recurrence. In conclusion, most cases are admitted in an emergency setting, and intestinal obstruction is frequently associated. A minimally invasive approach can be an option even for complicated hernias. MD resection or bowel resection is usually employed, depending on the extent of ischemic lesions. Patients undergoing bowel resection may be prone to worse outcomes. MDPI 2023-05-29 /pmc/articles/PMC10253297/ /pubmed/37297940 http://dx.doi.org/10.3390/jcm12113743 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Răcăreanu, Marian
Preda, Silviu Daniel
Preda, Agnesa
Strâmbu, Victor Dan Eugen
Radu, Petru Adrian
Bratiloveanu, Tudor Constantin
Pătrașcu, Ștefan
Marinescu, Daniela
Sapalidis, Konstantinos
Șurlin, Valeriu
Management of Littre Hernia—Case Report and Systematic Review of Case Reports
title Management of Littre Hernia—Case Report and Systematic Review of Case Reports
title_full Management of Littre Hernia—Case Report and Systematic Review of Case Reports
title_fullStr Management of Littre Hernia—Case Report and Systematic Review of Case Reports
title_full_unstemmed Management of Littre Hernia—Case Report and Systematic Review of Case Reports
title_short Management of Littre Hernia—Case Report and Systematic Review of Case Reports
title_sort management of littre hernia—case report and systematic review of case reports
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10253297/
https://www.ncbi.nlm.nih.gov/pubmed/37297940
http://dx.doi.org/10.3390/jcm12113743
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