ArticleJournal of surgical case reports2026
Littré's hernia within a recurrent inguinal hernia sac: an unusual cause of acute abdomen in the elderly-a case report.
Article in Journal of surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Littré's hernia is defined as the protrusion of a Meckel's diverticulum through a hernia defect; it represents fewer than 0.1% of complicated hernias, and its presentation as a recurrent hernia in the elderly is exceptional. We report an 81-year-old man with a previous open right inguinal herniorrhaphy who presented with abdominal pain, vomiting, and a non-reducible right inguinal mass consistent with intestinal obstruction. Exploratory laparotomy revealed a strangulated recurrent right inguinal hernia Nyhus IVB/European Hernia Society (EHS) L3R (lateral inguinal hernia, size 3 [>3 cm], recurrent), containing a 10-cm Meckel's diverticulum located 80 cm from the ileocaecal valve, together with adjacent ileal involvement (mixed Littré's hernia). Segmental small-bowel resection with side-to-side stapled anastomosis and primary tissue repair without mesh were performed. The patient was discharged on postoperative Day 4 and recovered uneventfully. Early intraoperative recognition and individualised surgical management are essential when contamination contraindicates prosthetic reinforcement.
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