Skip to main content

Advertisement

Log in

Perforated Littre’s hernia diagnosed on imaging: case report and review of literature

  • Case Report
  • Published:
Japanese Journal of Radiology Aims and scope Submit manuscript

Abstract

We report the clinical details and imaging findings of a case of perforated Littre’s hernia presenting as lower abdominal wall cellulitis in a 50-year-old male. Findings included herniation of an oral contrast opacified blind-ending pouch arising from the anti-mesenteric border of the distal ileum into the right inguinal canal, with extravasation of oral contrast. There were adjacent inflammatory changes with subcutaneous emphysema extending up to the right anterior chest wall. Meckel’s diverticulum is rarely diagnosed preoperatively on imaging. We highlight the importance of computed tomography in imaging Meckel’s diverticulum.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Horkoff MJ, Smyth NG, Hunter JM. A large incarcerated Meckelʼs diverticulum in an inguinal hernia. Intern J Surg Case Rep. 2014;5:899–901.

    Article  Google Scholar 

  2. Yagmur Y, Akbulut S, Can MA. Gastrointestinal perforation due to incarcerated Meckelʼs diverticulum in right femoral canal. World J Clin Cases. 2014;2:232–4.

    PubMed Central  PubMed  Google Scholar 

  3. Levy AD, Hobbs CM. From the archives of the AFIP. Meckel diverticulum: radiologic features with pathologic correlation. Radiographics : a review publication of the Radiological Society of North America, Inc. 2004;24:565–87

  4. Park JJ, Wolff BG, Tollefson MK, Walsh EE, Larson DR. Meckel diverticulum: the Mayo Clinic experience with 1476 patients (1950–2002). Ann Surg. 2005;241:529–33.

    Article  PubMed Central  PubMed  Google Scholar 

  5. Bennett GL, Birnbaum BA, Balthazar EJ. CT of Meckelʼs diverticulitis in 11 patients. Am J Roentgenol. 2004;182:625–9.

    Article  Google Scholar 

  6. Platon A, Gervaz P, Becker CD, Morel P, Poletti PA. Computed tomography of complicated Meckelʼs diverticulum in adults: a pictorial review. Insights Imag. 2010;1:53–61.

    Article  Google Scholar 

  7. Mitchell AW, Spencer J, Allison DJ, Jackson JE. Meckelʼs diverticulum: angiographic findings in 16 patients. Am J Roentgenol. 1998;170:1329–33.

    Article  CAS  Google Scholar 

  8. Burkhardt JH, Arshanskiy Y, Munson JL, Scholz FJ. Diagnosis of inguinal region hernias with axial CT: the lateral crescent sign and other key findings. Radiographics : a review publication of the Radiological Society of North America, Inc. 2011;31:E1–E12.

  9. Mathuram Thiyagarajan U, Ponnuswamy A, Bagul A, Ponnuswamy P. Perforated Meckelʼs diverticulum lithiasis: an unusual cause of peritonitis. Case reports in surgery. 2013;2013:825628.

  10. Jacob TJ, Gaikwad P, Tirkey AJ, Rajinikanth J, Raj JP, Muthusami JC. Perforated obturator Littre hernia. Can J Surg J Canadien de Chirurgie. 2009;52:E77–8.

    Google Scholar 

Download references

Conflict of interest

All the authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ankit Balani.

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Balani, A., Marda, S.S., Alwala, S. et al. Perforated Littre’s hernia diagnosed on imaging: case report and review of literature. Jpn J Radiol 33, 366–369 (2015). https://doi.org/10.1007/s11604-015-0422-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11604-015-0422-5

Keywords

Navigation