Mixed Littre’s Hernia with Concomitant Ipsilateral Cryptorchidism in an Infant: A Triple Surgical Challenge
DOI:
https://doi.org/10.61997/bjm.v15i1.497Keywords:
Littre hernia, Inguinal hernia, Infant, Bowel resection, Meckel diverticulumAbstract
Background: Littre’s hernia, defined by the presence of a Meckel’s diverticulum within a hernia sac, is an exceptionally rare entity in pediatric surgery. Due to the lack of specific external signs and its misleading acute presentation, it is most often identified intraoperatively. Case presentation: A 40-day-old male infant presented with irritability, intermittent abdominal discomfort, vomiting, right scrotal swelling, and refusal to feed. Physical examination revealed an empty right hemiscrotum and tenderness in the inguinal region. The initial diagnosis suggested torsion of an undescended testis. Surgical exploration revealed an incarcerated Meckel’s diverticulum within the right inguinal hernia sac showing signs of ischemia. A segmental small bowel resection with end-to-end anastomosis was performed, followed by hernia repair using the Bassini technique. Conclusion: Littre’s hernia is an uncommon finding in infancy and may mimic other acute scrotal or inguinal pathologies. Early recognition and prompt surgical intervention are crucial for achieving favorable outcomes.
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