A littre hernia occurs in less than 1% of patients with a md 3. The sages manual of hernia repair will serve as a stateoftheart resource for hernia surgeons and residents alike who are interested in the rapidly evolving area of abdominal wall hernia repair. Littres hernia was originally defined as the presence of a meckels diverticulum in any hernia sac by rieke in 1841. The abdominal wall hernias are classified according to anatomical region that compromise. This type of hernia is more prone to strangulation and necrosis. Alexis littre 17 july 1654 3 february 1726 was a french physician and anatomist born in cordes currently cordestolosannes in the department of tarnetgaronne. A sports hernia is not a true hernia, but rather a tearing of tissue fibers. Bowel obstruction and local inflammation are the possible complications. Littre s hernia is the presence of a meckel diverticulum within an orifice in the abdominal wall. Definition hernia meansto bud or to protrude off shoot greek rupture latin hernia is defined as an abnormal protrusion of a viscous or a part of a viscous through an opening, artificial or natural with a sac, covering it. This is a report of the first case, to my knowledge, of a richter hernia occurring in a sacral foramen.
This type of hernia is called inguinal because fat or part of the intestine slides through a weak area at the inguinal ring, the opening to the inguinal canal. Littre s hernia is incarcerated meckels diverticulum in femoral, inguinal, or umbilical hernia. Claudius amyand 16601740, a french surgeon working at st georges and westminster hospitals in london, performed the first successful appendectomy in 1735, on an 11yearold boy who presented with an inflamed, perforated appendix in his inguinal hernia sac. Laparoscopic hernia surgery is a concise and highly illustrated guide to the anatomy of the lower abdominal wall and laparoscopic repair of inguinal hernia. We report a case of littre hernia in a boy who presented with acute scrotal pain. A direct hernia is twice as likely to recur as an indirect. The antimesenteric border of the intestine must protrude into the hernia sac the most common location is at the site of a femoral hernia. A patient with a direct hernia is likely to be older with poor tissues, and perhaps prostatism, a urethral stricture, dyspnoea, a cough, or constipation, all of which will stress the hernia repair. A littre s hernia is an abdominal wall hernia that involves the meckels diverticulum, which is a congenital pouch formation on the small intestine that contains tissue leftover during the formation of the digestive tract and its organs. Littre hernia lh is the protrusion of md through a potential abdominal opening. It is characterized by the presence of meckels diverticulum. Richters hernia, or partial enterocele, is a protrusion of the antimesenteric surface of bowel wall into any abdominal hernia.
Other types of abdominal wall hernias are incisional hernias. Littre s hernia is a very rare condition, reported only in 50 cases till date. A 19 years old male, came with pain and swelling in right inguinal region, which turned out. Richter hernia definition of richter hernia by medical. Richter hernia is a specific complication in which only a part of the circumference on the antimesenteric border of the bowel is trapped in the hernia. Our patient has been operated as incarcerated inguinal hernia and littre hernia diagnosed at operation. Abd wall hernias university of tennessee college of medicine. Resident hernia lecture free download as powerpoint presentation. This file contains additional information, probably added from the digital camera or scanner used to create or digitize it. Littre s hernia 11% is an unusual complication of a meckel diverticulum. Although less common, incarcerated appendix may appear within a leftsided inguinal hernia. Download appendix d medical and surgical interventions. If the file has been modified from its original state, some details such as the timestamp may not fully reflect those of the original file. The sac comes through a hole or weak area in the strong layer of the belly wall that surrounds the muscle.
We present here the first recorded case of both amyands hernia and littres. It is named after the french anatomist alexis littre 16581726. This book consists of eight chapters, beginning with a chapter on anatomy, followed by chapters on different procedures, decision making in. Meckel diverticulum as the sole component of the hernia sac. It is most frequently encountered in the inguinal region. Hernia definition a hernia is a sac formed by the lining of the abdominal cavity peritoneum. Maydl hernias are defined as the presence of two small bowel loops within a single hernial sac, that is, there are two efferent and two afferent loops of bowel, forming a w shape. This hernia varied from the known forms of hernias in its clinical course and in the postmortem examination results performed by littre himself. There are few cases published in the literature and its frequency is not well described. Littre hernia definition of littre hernia by medical. A vermiform appendix in an inguinal hernia sac, with or without appendicitis, is called amyands hernia. Como cure mi hernia inguinal como cure mi hernia inguinal. Ebook laparoscopic hernia surgery as pdf download portable. Simultaneous presentation of a right littres hernia and a left.
To date, 7 such patients with leftsided amyands hernia been described in the english literature in both males and females, ranging in age from 9 months to 81 years 2933. Anterior abdominal wall necrotizing fasciitis due to strangulated umbilical hernia. It is a rare finding at any age, and its true incidence is unknown. Littre hernia is a hernia containing a meckel diverticulum, and is also known as a persistent omphalomesenteric duct hernia. We are presenting a case of strangulated littre s hernia. Modified tensionfree mesh repair used in rare case of littres hernia. Jan 28, 2014 amyands hernia can also present with appendiceal adenocarcinoid tumor. Littre s hernia was originally defined as the presence of a meckels diverticulum in any hernia sac by rieke in 1841. This manual captures and summarizes the current trends in the field, as well as describing the new ideas, programs, and strategies regarding hernia. A littres hernia is a complication of meckels diverticulum and it is a result of its protrusion through a herniary orifice. Richters hernia is a deceptive entity with a high mortality which can be reduced by accurate diagnosis and early operation.
Critical to the repair of richters hernia is an adequate evaluation of the intestine for viability. Dec 22, 2009 pdf file repair software is designed with quicksense technology to repair pdf files and saving all the recovered data on a new pdf file instantly. An inguinal hernia occurs in the grointhe area between the abdomen and thigh. The area was drained and small intestinal contents found. Physiopedia is not a substitute for professional advice or expert medical services from a. Pdf meckel diverticulum md is the most common congenital anomaly of the. If the file has been modified from its original state, some details may not fully reflect the modified file. Which type of hernia you have depends on where it is.
This file contains additional information such as exif metadata which may have been added by the digital camera, scanner, or software program used to create or digitize it. A 60yearold woman had gradual onset of postsacral pain and swelling. Usual sites of littre hernia are inguinal 50%, umbilical 20%, and femoral. The usual sites of these socalled littre hernias are inguinal 50%, umbilical 20%, and femoral 20% 3. Littre hernia definition of littre hernia by medical dictionary. An inguinal hernia appears as a bulge on one or both sides of the groin. Scribd is the worlds largest social reading and publishing site. Intestinal obstruction due to incarcerated meckels diverticulum. Usual sites of littre hernia are right inguinal 50% of cases, umbilical hernia 20%, and femoral hernia 20%. A hernia is the abnormal exit of tissue or an organ, such as the bowel, through the wall of the.
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