Question
Identify the Condition shown in Photograph
A. Maydl’s hernia
B. Littre’s hernia
C. Amyand’s hernia
D. Spigelion hernia
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Correct Answer » B Explanation |
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Littre’s hernia
Littre hernia is the protrusion of a Meckel diverticulum through a potential abdominal opening.
Embryologically, Meckel diverticulum is the persistent intestinal part of the omphaloenteric duct through which the midgut communicates with the umbilical vesicle until the fifth week. It is found at the antimesenteric border of the ileum, usually located 30 to 90 cm from the ileocecal valve, measuring 3 to 6 cm in length and 2 cm in diameter. Usual sites of Littre hernia are: inguinal (50%), umbilical (20%), and femoral (20%). Meckel diverticulum may be accompanied in the sac by the ileal loop to which it is attached; rarely, it may undergo incarceration or strangulation, necrosis, and perforation. In children, it is mostly found in umbilical hernias, and the diverticulum is more prone to adhere to the sac.