Case Report
Copyright ©2014 Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jun 16, 2014; 2(6): 232-234
Published online Jun 16, 2014. doi: 10.12998/wjcc.v2.i6.232
Gastrointestinal perforation due to incarcerated Meckel’s diverticulum in right femoral canal
Yusuf Yagmur, Sami Akbulut, Mehmet Ali Can
Yusuf Yagmur, Sami Akbulut, Mehmet Ali Can, Department of Surgery, Diyarbakir Education and Research Hospital, 21400 Diyarbakir, Turkey
Author contributions: Yagmur Y and Akbulut S designed the report; Akbulut S and Can MA performed surgical operation; Akbulut S and Yagmur Y organized the report and wrote paper.
Correspondence to: Sami Akbulut, MD, FICS, FACS, Department of Surgery, Diyarbakir Education and Research Hospital, 21400 Diyarbakir, Turkey. akbulutsami@gmail.com
Telephone: +90-412-2580075 Fax: +90-412-2580070
Received: December 26, 2013
Revised: February 11, 2014
Accepted: April 9, 2014
Published online: June 16, 2014
Processing time: 176 Days and 2.7 Hours
Abstract

Meckel’s diverticulum is a very common congenital anomaly of the gastrointestinal tract but many cases remain asymptomatic and are diagnosed incidentally during laparoscopic or other surgical procedures. Cases of femoral hernia involving Meckel’s diverticulum are rare, with less than 50 cases reported in the literature since Littre published the first description of this coincident condition over 300 years ago. While all true “Littre’s hernias” contain a Meckel’s diverticulum, the involved anatomical sites are various, the most common being the inner groin (inguinal), the outer groin (femoral), and the belly button (umbilical). Complications of Littre’s hernias include incarceration, strangulation, necrosis, and perforation. Herein, we describe a case of Littre’s hernia that involved an incarcerated Meckel’s diverticulum in a femoral hernia that was diagnosed upon investigation of symptomology manifesting from perforation and was successfully managed by surgical resection with stapler devices.

Keywords: Meckel’s diverticulum; Incarceration; Littre Hernia; Gastrointestinal perforation

Core tip: Meckel’s diverticulum is most commonly diagnosed congenital anomaly of the gastrointestinal tract. Any hernia containing a Meckel’s diverticulum is designated as a Littre’s hernia. Although rare in overall incidence, the most common complications of Littre’s hernias are perforation, bowel obstruction secondary to strangulation, and incarceration within the hernial sac. In this case study, we present and share the diagnosis and successfully management of a case of incarcerated Meckel’s diverticulum in a femoral hernia (Littre’s hernia) with perforation.