Littre´s Hernia refers to incarcerated Meckel´s diverticulum in an indirect inguinal hernia sac even though, the pathology was originally defined in femoral hernia sac.
Quite infrequent. I have not seen a single case of Littre's hernia in children in the last thirty years.
It is very rare but you have to suspect it when you have a young patient with a femoral hernia.
Littre's hernia:
Definition: Littre's hernia is defined as any hernial sac which contains a Meckel's diverticulum. It has been reported in association with inguinal, umbilical, femoral, sciatic, ventral, and lumbar hernias.
Historical Background: Littre reported this variant of inguinal hernia for the first time in 17001
Incidence: Inguinal Littre’s hernia is rare, particularly in children, in whom the umbilical variety is the commoner variant.
Details in the link:
http://www.springer.com/us/book/9783662436790
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