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Hernia de Littré / Littré's hernia
Santiesteban Pupo, Wilfredo Ernesto; Borges Sandrino, René Santiago; Ramón Musibay, Enia.
  • Santiesteban Pupo, Wilfredo Ernesto; Hospital Militar Central Dr. Carlos J. Finlay. La Habana. CU
  • Borges Sandrino, René Santiago; Hospital Militar Central Dr. Carlos J. Finlay. La Habana. CU
  • Ramón Musibay, Enia; Hospital Militar Central Dr. Carlos J. Finlay. La Habana. CU
Rev. cuba. med. mil ; 47(3): 1-7, jul.-set. 2018. ilus
Article in Spanish | LILACS, CUMED | ID: biblio-985541
RESUMEN

Introducción:

La hernia de Littré se define como la presencia de un divertículo de Meckel en cualquier saco herniario, su incidencia es de alrededor de un 2 por ciento y se han descrito pocos casos en la literatura.

Objetivo:

Presentar un caso inusual de cirugía de urgencia con un cuadro de oclusión intestinal por hernia de Littré, operado en el servicio de urgencias del Hospital Militar Dr. Carlos J. Finlay. Caso clínico Paciente de 79 años de edad que consulta por cuadro de dolor abdominal, vómitos y aumento de volumen en la región crural derecha, operado con diagnóstico presuntivo de hernia crural complicada. Se realiza abordaje preperitoneal, se encontró en el saco herniario, un divertículo de Meckel con compromiso vascular. Fue resecado completamente, efectuada anastomosis término-terminal del íleon y reparado defecto herniario con técnica de Cheatle-Henry.

Comentarios:

La paciente recibió resección intestinal y reparación tisular del anillo crural, recibió alta hospitalaria al tercer día y médica a los 45 días de la operación(AU)
ABSTRACT

Introduction:

Littré hernia is defined as the presence of a Meckel diverticulum in any hernia sac, the incidence is around 2 percent and few cases have been described in the literature.

Objective:

To present an unusual case of emergency surgery with intestinal occlusion due to Littré's hernia operated in the emergency service of the Military Hospital Dr. Carlos J. Finlay. Clinical case A 79-year-old patient who consulted due to abdominal pain, vomiting and increased volume in the right crural region, he was operated with a presumptive diagnosis of complicated crural hernia. A preperitoneal approach was performed, a Meckel diverticulum with vascular compromise was found in the hernia sac. It was completely resected, end-to-end anastomosis of the ileum was performed and hernial defect repaired with the Cheatle-Henry technique.

Comments:

this patient received intestinal resection and tissue repair of the crural ring. She was discharged on the third day and medically discharge 45 days after the operation(AU)
Subject(s)

Full text: Available Index: LILACS (Americas) Main subject: Herniorrhaphy / Meckel Diverticulum Limits: Aged / Female / Humans Language: Spanish Journal: Rev. cuba. med. mil Journal subject: History of Medicine / Military Medicine Year: 2018 Type: Article Affiliation country: Cuba Institution/Affiliation country: Hospital Militar Central Dr. Carlos J. Finlay/CU

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Full text: Available Index: LILACS (Americas) Main subject: Herniorrhaphy / Meckel Diverticulum Limits: Aged / Female / Humans Language: Spanish Journal: Rev. cuba. med. mil Journal subject: History of Medicine / Military Medicine Year: 2018 Type: Article Affiliation country: Cuba Institution/Affiliation country: Hospital Militar Central Dr. Carlos J. Finlay/CU