Littré Strangled Umbilical Hernia: Case Report

Author(s): Júlia Saraiva Avelino Silveira, Jessica Andrade Freire, Gustavo Santana Garcia, Carlos Henrique Morais Reis, Audria Taiane Souza dos Santos, Matheus Castro de Almeida, João Henrique Godoy Rodrigues

Littré hernia is considered to be an extremely rare surgical finding with few cases described in recent literature. It is characterized by the presence of Meckel’s diverticulum in the interior of the hernia sac. The aim of this article is to report the case of an elderly patient intraoperatively diagnosed with Littré's strangled umbilical hernia, associated with the insertion of Treitz ligament in anomalous position.

Littre Hernia, Meckel’s Diverticulum, Rare Hernias, Umbilical Hernia

1. Fernandez PM, Lucio LAG, Dias JLF, Pollachi F. Hérnia de Littré: relato de caso e revisão de literatura. Arq méd ABC. 2003;28(1):25-7.
2. Kim SK, Cho CD, Wojtowycz AR. The ligament of Treitz (the suspensory ligament of the duodenum): anatomic and radiographic correlation. Abdom Imaging. 2008;33(4):395-7.https://doi.org/10.1007/s00261-007-9284-3
3. Lima Neto EV, Goldenberg A, Matos D. Hérnia de Littré. Rev Col Bras Cir. 2004;31(1):73-4. https://doi.org/10.1590/s0100-69912004000100015
4. Schizas D, Katsaros I, Tsapralis D, Moris D, Michalinos A, Tsilimigras DI, et al. Littre’s hernia: a systematic review of the literature. Hernia. 2019;23(1):125-30.https://doi.org/10.1007/s10029-018-1867-0
5. Skandalakis PN, Zoras O, Skandalakis JE, Mirilas P. Littre hernia: surgical anatomy, embryology, and technique of repair. Am Surg. 2006;72(3):238-43. https://doi.org/10.1177/000313480607200309
6. Souza HS, Felicio AC, Berthier G. Hérnia de Littré causando obstrução intestinal. Rev Col Bras Cir. 2009;36(2):183-4. https://doi.org/10.1590/s0100-69912009000200019