Abstruct
Littré’s hernia is one of the rarest forms of hernia, characterized to contain the Meckel’s diverticulum as its sole content. The Meckel’s diverticulum in the hernial sac can be involved by those complications which occur in the diverticulum in the free abdominal cavity.
A case of Littré’s femoral hernia in a 75 years old man with formation of an intestinal fistula as a result of inflammation of the Meckel’s diverticulum, probably, following mechanical trauma exerted by a phytogenic fibre, was reported, and the previous literatures were reviewed. Consequently, it was confirmed that signs and symptoms of Littré’s hernia with complications are less severe and non-characteristic compared to ordinary types, and hence its preoperative diagnosis is very difficult.
Article PDF
Similar content being viewed by others
Avoid common mistakes on your manuscript.
References
Aubrey, D. A.: Meckel’s diverticulum. A review of sixty-six emergency Meckel’s diverticulectomies, Arch. Surg. 100: 144–146, 1970.
Bergland, R. M., Gump, F. and Prince, J. B., Jr.: An unusual complication of Meckel’s diverticulum in older patients, Ann. Surg. 158: 6–8, 1963.
Bird, W. E.: Littré’s umbilical hernia. Case report, Amer. J. Surg. 60: 81–87, 1943.
Chatterjee, C. R.: Sarcomas of Meckel’s diverticulum, Canad. J. Surg. 13: 163–165, 1970.
Davis, C. E., Jr.: Littré’s hernia. Report of two cases, Ann. Surg. 139: 370–373, 1954.
Ekehorn, G.: Die Brüche des Meckel’scher Divertikels, Arch. Klin. Chir. 64: 115–133, 1901.
Frankau, C.: Strangulated hernia: A review of 1487 cases, Brit. J. Surg. 19: 176–191, 1931.
Gregorie, H. B., Jr. and Herbert, K. H.: Foreign body perforation of Meckel’s diverticulum, Amer. Surg. 33: 231–233, 1967.
Hedenberg, von C.: Surgical indications in Meckel’s diverticulum, Acta Chir. Scand. 135: 530–533, 1969.
Ingle, N. G. and Hopkins, S. M.: Lateral hernia and strangulated Meckel’s diverticulum, Arch. Surg. 64: 401–404, 1952.
Klugmann, von H.-J. and Treutler, H.: Atypischer Verlauf einer Meckelschen Divertikulitis, Z. Ges. Inn. Med. 24: 444–447, 1969.
Hasche-Klünder, R.: Fettgewebsnekrose im Nebenpankreas eines Meckelschen Divertikels, Chirurg 20: 82–84, 1949.
Lium, R. and Ladd, S. T.: Left inguinal hernia with acute Meckel’s diverticulitis and peritonitis. Report of a case, New Engl. J. Med. 226: 15–16, 1942.
Matt, J. G. and Timpone, P. J.: Peptic ulcer of Meckel’s diverticulum. Case report and review of literature, Amer. J. Surg. 47: 612–623, 1940.
Meyerowitz, B. R.: Littré’s hernia, Brit. Med. J. 1: 1154–1156, 1958.
Naumann: cited by Pabst. 69: 646–692, 1910.
Pabst, F.: Ein Meckel’sches Divertikel in einer Hernia interparietalis inguinalis incarcerata dextrum, Bruns Beit. Klin. Chir. 69: 646–692, 1910.
Paulwan, F.: Operative aspects of Richter’s hernia, Surg. Gynec. Obstet. 106: 358–362, 1958.
Payson, B. A., Schneider, K. M. and Victor, M. B.: Strangulation of a Meckel’s diverticulum in a femoral hernia (Littré’s), Ann. Surg. 144: 277–281, 1956.
Root, G. T. and Baker, C. P.: Complications associated with Meckel’s diverticulum, Amer. J. Surg. 114: 285–288, 1967.
Sharma, G. and Benson, C. K.: Enteroliths in Meckel’s diverticulum: Report of a case and review of the literature, Canad. J. Surg. 13: 54–58, 1970.
Sneierson, H. and Cunningham, J. R.: Littré’s hernia, Amer. J. Surg. 94: 676–677, 1957.
Soderlund, S.: Meckel’s diverticulum: Clinical and histological study, Acta Chir. Scand. Suppl. 248: 1–233, 1959.
Sparberg, M.: Chronic iron deficiency anemia due to Meckel’s diverticulum, Amer. J. Dis. Child. 113: 286–287, 1967.
Sweet, R. H.: Incarecration of Meckel’s diverticulum in femoral hrnia. Case with review of literature, New Engl. J. Med. 202: 997–998, 1930.
Weinstein, B. M.: Strangulated Littré’s femoral hernia with spontaneous fecal fistula. Case report with a review of the literature, Ann. Surg. 108: 1076–1082, 1938.
Keynes, H. N.: Richter’s and Littré’s Hernia, in Hernia, Eds. Nyhus, L. M. and Harkins, H. H., pp. 233–239, J. B. Lippincott Co., Philadelphia & Montreal, 1964.
Arai, Y.: Purulent Meckel’s diverticulitis and a Meckel’s diverticulum in right inguinal hernia, Nippon Rinsho Gekaikai Zasshi (Jap. Chir. Gessellschaft) 1: 109–112, 1938 (in Japanese).
Arai, K.: Complication in Meckel’s diverticulum. Report of two cases, Nippon Geka Gakkai Zasshi (J. Jap. Surg. Soc.) 53: 100, 1952 (in Japanese).
Ebihara, T.: Studies on Meckel’s diverticle of the Japanese newborn infant, Nippon Ika Daigaku Zasshi (J. Nippon Med. School) 26: 139–150, 1959 (in Japanese).
Fujisawa, H.: Incarcerated hernia with Meckel’s diverticulum, Nippon Geka Hohkan (Arch. Jap. Chir.) 9: 103, 1932 (in Japanese).
idem.—: Hernia incarcerata Meckelica, Grenzgebiet 7: 958–962, 1933 (in Japanese).
Hirono, Y. and Ohtsuka, M.: Richter’s and Littré’s hernia, Shinshu Igaku Zasshi (Shinshu Med. J.) 17: 575, 1968, (in Japanese).
Ikeda, F.: Ileus due to Meckel’s diverticulum, Nippon Ika Daigaku Zasshi (J. Nippon Med. School) 10: 1295–1298, 1938 (in Japanese).
Ikeda, T.: Five cases of ileus caused by Meckel’s diverticulum, Rinsho Geka (Clin. Surg.) 1(4): 28–33, 1947, (in Japanese).
Iwabuchi, K. et al.: Meckel’s diverticulum, Nippon Rinsho Gekaikai Zasshi (Jap. J. Pract. Surg. Soc.) 28: 211, 1967, (in Japanese).
Kado, Y.: Meckel’s diverticulum in right inguinal hernia, Nagasaki Igakkai Zasshi (Nagasaki Med. J.) 12: 1731, 1934 (in Japanese).
Kamei, T.: Incarcerated femoral hernia with Meckel’s diverticulum, Kyushu Igakkai Zasshi (Kyushu Med. J.) 24: 269–276, 1920 (in Japanese).
Kanazawa, K. et al.: Split notochord syndrome, Geka (Surgery) 28: 696–704, 1966 (in Japanese).
Kawamoto, I.: Perforation of Meckel’s diverticulum caused by ascaris and seed, Tokyo Iji Shinshi (Tokyo Med. J.) 71: 234, 1954 (in Japanese).
Kawashima, M.: Incarcerated hernia with Meckel’s diverticulum, Tokyo Shiritsu Byoin Ryoyosho Gyoseki Nenpo, pp. 39–40, 1936 (in Japanese).
Kazama, Y.: Incarcerated inguinal hernia with Meckel’s diverticulum, Hokuetsu Igakkai Zasshi (Hokuetsu Med. J.) 39: 107–108, 1922 (in Japanese).
Kimoto Geka Clinical Conference: Ulcer in Meckel’s diverticulum, Geka Shinryo (Surg. Diag. Treat.) 1: 788–793, 1959 (in Japanese).
Kiyonari, M.: Statistical study on Meckel’s diverticulum in Japan, Nihon Shokakibyo Gakukai Zasshi (Jap. J. Gastroenterol.) 61: 199–204, 1964 (in Japanese).
Kojima, U.: Incarcerated hernia and Meckel’s diverticulum, Nihon Gekagakkai Zasshi 12: 120–121, 1912 (in Japanese).
Masuda, R.: Perforation of Meckel’s diverticulum caused by fish bone, Hirosaki Igaku (Hirosaki Med. J.) 16: 184, 1964 (in Japanese).
Matsubara, T.: Über Achsendrehung des Meckelschen Divertikels. Anhang: Statistische Beobachtungen über diesen Divertikel in der Japanischen medizinischen Literatur, Shokakibyogaku (Folia Gastro-enterol.) 5: 63–85, 1940 (in Japanese with German summary).
Matsuhashi, M.: Incarcerated hernia and Meckel’s diverticulum, Nihon Gekagakkai Zasshi (Jap. J. Surg. Soc.) 12: 118–121, 1912 (in Japanese).
Matsuno, S.: Incarcerated Hernia with Meckel’s diverticulum, ibid. 23: 278–279, 1922 (in Japanese).
Mitani, S. and Hoshino, K.: Meckel’s diverticulum in Japanese neonates, Sanfujinka Kiyo 23: 1317, 1940 (in Japanese).
Miura, M.: Incarcerated hernia with Meckel’s diverticulum, Nippon Ika Daigaku Zasshi (J. Nippon Med. School) 19: 1606, 1952 (in Japanese).
Murakami, Y.: Meckel’s diverticulum in inguinal hernia, Ijishinbun 788: 1252–1253, 1909 (in Japanese).
Nabeshima, M.: Meckel’s diverticulum in umbilical cord, Sanfujinka Kiyo 25: 964, 1942 (in Japanese).
Nagashima, T. and Kimura, K.: Hernias with pyosalpinx and Meckel’s diverticulum, Nihon Gekagakkai Zasshi (Jap. J. Surg. Soc.) 50: 36–37, 1949 (in Japanese).
Nakamura, M. and Ohori, T.: Various forms of ileus caused by Meckel’s diverticulum, Igaku Chuohzasshi (Jap. Centr. Rev. Med.) 73: 482–483, 1941 (in Japanese).
Nakayama, S.: Incarceration of Meckel’s diverticulum in femoral hernia, Juntendo Ijikenkyukai Zasshi 588: 41–45, 1942 (in Japanese).
Naruse, T.: Various forms of incarcerated hernia, Nihon Gekagakkai Zasshi (Jap. J. Surg. Soc.) 46: 6, 1946 (in Japanese).
Nasho, A.: Several interesting cases, Okayama Igakkai Zasshi 73: 216–217, 1961 (in Japanese).
Oda, K.: Über zwei inkarzeriete Inguinalhernien, die als Inhalt den Meckelschen Divertikel enthielten, Okayama Igakkai Zasshi 43: 827–831, 1931 (in Japanese with German summary).
Ogawa, M.: Meckel’s diverticulum in right incarcerated inguinal hernia, Chiryo oyobi Shoho 15 (170): 146–147, 1934 (in Japanese).
Ohara, H.: Diverticuluitis caused by fish bone, Nihon Gekagakkai Zasshi, (Jap. J. Surg. Soc.) 36: 2350, 1935 (in Japanese).
Onodera, R. and Kikuchi, S.: Perforation of Meckel’s diverticulum with ectopic pancreas, Hirosaki Igaku (Hirosaki Med. J.) 16: 184, 1964 (in Japanese).
Ohwaki, N.: Two cases of peculiar inguinal hernia, Nihon Gekagakkai Zasshi (Jap. J. Surg. Soc.) 46: 46, 1946 (in Japanese).
Sakai, J. et al.: Peritonitis and hernial incarceration caused by Meckel’s diverticulum, Nihon Gekagakkai Zasshi (Jap. J. Surg. Soc.) 64: 638, 1963 (in Japanese).
Sato, T.: Ileus due to incarcerated Meckel’s diverticulum, Shindan to Chiryo (Diagnosis & Treatment) 29: 784–788, 1942 (in Japanese).
Shibata, I.: Meckel’s diverticulum in Japanese foetus, Tokyo Iji Shinshi (Tokyo Med. Wschr.) 2437: 1932–1936, 1925 (in Japanese).
Shigetomi, E. and Takagi, T.: Meckel’s diverticulum in irreducible inguinal hernia, Nihon Gekagakkai Zasshi (Jap. J. Surg. Soc.) 68: 419, 1967 (in Japanese).
Shimizu, K. et al.: Meckel’s diverticulum with complication, Iryo, Suppl. 19: 193, 1966 (in Japanese).
Shinohara, J.: Ileus due to inflamed Meckel’s diverticulum, Rinsho Shonika Zasshi 3: 1155–1159, 1929 (in Japanese).
Takita, H. and Maeda, S.: Statistical study and experience of the Meckel’s diverticulum, Rinsho Geka (Clin. Surg.) 14: 251–254, 1959 (in Japanese).
Tamura, Y.: Rare form of ileus, Tokyo Iji Shinshi (Tokyo Med. Wschr.) 2957: 3049, 1935 (in Japanese).
Tsuchiya, F. and Toyota, T.: A vesical fistula of Meckel’s diverticle, with review of Japanese literatures on the Meckel’s diverticle, Rinsho Geka (Clin. Surg.) 11: 309–318, 1956 (in Japanese).
Wakayama, T.: A case of Meckel’s diverticulitis with massive bleeding, Nippon Ika Daigaku Zasshi (J. Nippon Med. College) 18: 155–159, 1951 (in Japanese).
Watanabe, J. et al.: Incarcerated hernia with Meckel’s diverticulum, Iryo, Suppl. 22: 131, 1969 (in Japanese).
Yamada, Y.: Incarcerated hernia with Meckel’s diverticulum, Nihon Gekagakkai Zasshi (Jap. J. Surg. Soc.) 39: 1684–1685, 1939 (in Japanese).
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Kanazawa, K., Ishikawa, K., Shoji, R. et al. Littré’s femoral hernia causing intestinal fistula. The Japanese Journal of Surgery 2, 37–46 (1972). https://doi.org/10.1007/BF02468905
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF02468905