• Users Online: 45
  • Print this page
  • Email this page
 
CASE REPORT
Ahead of Print

Management of an inguinal mixed Littré hernia and incidental cryptorchidism: A case report


1 Surgery Department, Bernardino Rivadavia Hospital, Buenos Aires, Argentina
2 Early Cancer Detection Center, Max Peralta Hospital, Cartago, Costa Rica
3 Emergency Department, Bernardino Rivadavia Hospital, Buenos Aires, Argentina

Correspondence Address:
Sofía N Gamboa Miño,
Surgery Department, Bernardino Rivadavia Hospital, Bulnes 1814, Suite C Floor 10, Palermo, Buenos Aires C1425DKF
Argentina
Login to access the Email id

Source of Support: None, Conflict of Interest: None

INTRODUCTION: Littré hernia is defined as the presence of a Meckel’s diverticulum in any hernia sac. The case of an adult with Littré hernia associated with a cryptorchidic testicle in the inguinal canal has not been previously reported. Treatment of this rare case is controversial on many fronts. This report highlights the management of a case with an inguinal mixed Littré hernia and incidental cryptorchidism. CASE PRESENTATION: A 32-year-old male patient with an incarcerated right inguinal hernia presented to the emergency department. An incarcerated mixed Littré hernia was discovered associated with a cryptorchidic testicle. A Lichtenstein hernioplasty and an orchidopexy were performed without resection of Meckel’s diverticulum. DISCUSSION: There is currently no consensus on the treatment of a Littré hernia nor incidental cryptorchidism in an adult patient. Controversies arise on whether to perform diverticulectomy or not and the type of hernia repair. This case had the added unique feature of an undiagnosed cryptorchidic testicle in an adult, a pathology that also prolongs controversies on whether it is necessary to resect. CONCLUSION: Treatment of a Littré hernia, Meckel’s diverticulum, and cryptorchidism in adult patients continues to be a challenge. Given the lack of guidelines that establish appropriate treatment, it must be decided on a case by case basis; however, a conservative approach seems to be safe.


Print this article
Search
 Back
 
  Search Pubmed for
 
    -  Gamboa Miño SN
    -  Zeledón ME
    -  Solari AJ
    -  Alcántara GH
 Citation Manager
 Article Access Statistics
 Reader Comments
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed137    
    PDF Downloaded4    

Recommend this journal