Hernia femoral de Littré estrangulada. Reporte de caso clínico

Abstract

Objective

To present a case of strangulated Littré femoral hernia.

Clinical case

86 years old man with 4 days of post-traumatic periumbilical abdominal pain accompanied by vomiting and absence of stools with gas transit preserved. Examination highlighted a painful and indurated mass of 3 cm in diameter that it was not reducible below right inguinal arch. A femoral hernia repair with preperitoneal approach was performed by identifying a strangulated Littré hernia performing bowel resection and tissue repair of the hernia defect.

Conclusion

Littré femoral hernias are an extremely rare entity and optimal surgical management is not established.