Laparoscopic Treatment of an Incarcerated Meckel’s Diverticulum in a Femoral Hernia
Meckel’s diverticulum (MD) is the persistence of the omphalomesenteric duct. It is usually asymptomatic but may present with bleeding, infections, and intestinal obstruction. It also may be a content of a hernia sac, a so-called Littre hernia. Herein, we will present the case of a 75-year-old female...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2019/3140706 |
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| author | Christoph Paasch Gianluca De Santo Peter Look Katherina Boettge Michael Hünerbein |
| author_facet | Christoph Paasch Gianluca De Santo Peter Look Katherina Boettge Michael Hünerbein |
| author_sort | Christoph Paasch |
| collection | DOAJ |
| description | Meckel’s diverticulum (MD) is the persistence of the omphalomesenteric duct. It is usually asymptomatic but may present with bleeding, infections, and intestinal obstruction. It also may be a content of a hernia sac, a so-called Littre hernia. Herein, we will present the case of a 75-year-old female, who suffered from a painful swelling of the right inguinal region. Ultrasound imaging detected an inguinal hernia with incarcerated blind ending small bowel. Immediately, a laparoscopy was conducted. We diagnosed a right femoral hernia with an incarcerated MD. A TAPP (transabdominal preperitoneal) procedure was performed and the MD tangential stapled. Due to an uneventful postoperative course, the patient left the hospital after two days. An incarceration of a MD in a femoral hernia is rare. Tangential resection of the MD with simultaneous hernia repair in a TAPP technique seems to be a sufficient approach, when it is conducted by an experienced surgeon. |
| format | Article |
| id | doaj-art-3e856545a929499bbc50b4936267c0e1 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-3e856545a929499bbc50b4936267c0e12025-08-20T03:55:41ZengWileyCase Reports in Surgery2090-69002090-69192019-01-01201910.1155/2019/31407063140706Laparoscopic Treatment of an Incarcerated Meckel’s Diverticulum in a Femoral HerniaChristoph Paasch0Gianluca De Santo1Peter Look2Katherina Boettge3Michael Hünerbein4Department of General, Visceral and Cancer Surgery, Helios Klinikum Berlin-Buch, Schwanebecker Chaussee 50, 13125 Berlin, GermanyDepartment of General, Visceral and Cancer Surgery, Helios Klinikum Berlin-Buch, Schwanebecker Chaussee 50, 13125 Berlin, GermanyDepartment of General, Visceral and Cancer Surgery, Helios Klinikum Berlin-Buch, Schwanebecker Chaussee 50, 13125 Berlin, GermanyNo Insurance Surgery (NIS), 9121 W Russell Rd, Las Vegas, NV 89148, USADepartment of General, Visceral and Cancer Surgery, Helios Klinikum Berlin-Buch, Schwanebecker Chaussee 50, 13125 Berlin, GermanyMeckel’s diverticulum (MD) is the persistence of the omphalomesenteric duct. It is usually asymptomatic but may present with bleeding, infections, and intestinal obstruction. It also may be a content of a hernia sac, a so-called Littre hernia. Herein, we will present the case of a 75-year-old female, who suffered from a painful swelling of the right inguinal region. Ultrasound imaging detected an inguinal hernia with incarcerated blind ending small bowel. Immediately, a laparoscopy was conducted. We diagnosed a right femoral hernia with an incarcerated MD. A TAPP (transabdominal preperitoneal) procedure was performed and the MD tangential stapled. Due to an uneventful postoperative course, the patient left the hospital after two days. An incarceration of a MD in a femoral hernia is rare. Tangential resection of the MD with simultaneous hernia repair in a TAPP technique seems to be a sufficient approach, when it is conducted by an experienced surgeon.http://dx.doi.org/10.1155/2019/3140706 |
| spellingShingle | Christoph Paasch Gianluca De Santo Peter Look Katherina Boettge Michael Hünerbein Laparoscopic Treatment of an Incarcerated Meckel’s Diverticulum in a Femoral Hernia Case Reports in Surgery |
| title | Laparoscopic Treatment of an Incarcerated Meckel’s Diverticulum in a Femoral Hernia |
| title_full | Laparoscopic Treatment of an Incarcerated Meckel’s Diverticulum in a Femoral Hernia |
| title_fullStr | Laparoscopic Treatment of an Incarcerated Meckel’s Diverticulum in a Femoral Hernia |
| title_full_unstemmed | Laparoscopic Treatment of an Incarcerated Meckel’s Diverticulum in a Femoral Hernia |
| title_short | Laparoscopic Treatment of an Incarcerated Meckel’s Diverticulum in a Femoral Hernia |
| title_sort | laparoscopic treatment of an incarcerated meckel s diverticulum in a femoral hernia |
| url | http://dx.doi.org/10.1155/2019/3140706 |
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