Incarceration of Meckel's diverticulum in a left paraduodenal Treitz' hernia

Abstract

Meckel's diverticula incarcerated in a hernia were first described anecdotally by Littré, a French surgeon, in 1700. Meckel, a German anatomist and surgeon, explained the pathophysiology of this disease 100 years later. In addition, a congenital paraduodenal mesocolic hernia, known as a Treitz hernia, is a rare cause of small bowel obstruction. These hernias are caused by an abnormal rotation of the primitive midgut, resulting in a right or left paraduodenal hernia. We treated a patient presenting with pain and diagnosed extraluminal air in the abdomen after a computed tomography examination. We performed a laparotomy and found a combination of these two seldomly occurring congenital diseases, incarceration and perforation of Meckel's diverticulum in a left paraduodenal hernia. We performed a thorough review of the literature, and this report is the first to describe a patient with a combination of these two rare conditions. We considered the case regarding the variety of terminology as well as the treatment options of these conditions.

Perforated Meckel’s diverticulum with acute appendicitis in an infant

“…The main clinical sign is gastrointestinal bleeding, reported in 25-50% of symptomatic patients with MD (6). In children, the most common presentation associated with MD is intestinal obstruction usually caused by intussusception, fibrous band volvulus, torsion of the diverticulum and Littre's internal hernia (3,(7)(8)(9)(10). Peritonitis is also a common clinical presentation in children, which results from a perforated diverticulum or diverticulitis (11,12).…”

Treitz Hernia: Report of a Case and Review of the Literature

“…A total of 159 items with an available abstract were filtered using the keywords paraduodenal hernia. Ninety-five of them, including the former, [9][10][11][12][13] with a total of 120 case reports, were about left-sided paraduodenal hernias. As we considered the Treitz hernia to be a particular left-sided hernia (as described above), we reviewed these articles to find similarities with our case.…”

Hernie de Littré ombilicale étranglée chez l’enfant: complication rare d’une malformation fréquente de l’intestin grêle

“…La hernie de Littré est définie comme la présence du diverticule de Meckel dans un sac herniaire [1]. Il a été décrit pour la première fois par Alexis Littré en 1700; cependant le terme de hernie de Littré a été utilisé pour la première fois par Reinke en 1841 [2].…”