A rare presentation of perforated Meckel’s diverticulum in a Litter’s hernia: A case report

Introduction

Meckel's diverticulum (MD) is a complex medical condition that can result in uncommon and serious abdominal surgical emergencies. Its unique presentations make it a distinctive phenomenon in surgical practice.

Case presentation

A 46-year-old male patient with a history of appendectomy presented with fever and severe abdominal pain near the umbilicus. An umbilical hernia was felt as tense, tender, and irreducible. Computerized Tomography (CT) scans of the abdomen showed a loculated collection related to the umbilicus, and oral contrast was seen to extravasate into the collection. Surgical exploration revealed a perforated Meckel's diverticulum in an umbilical Littre's hernia.

Conclusion

the presence of a perforated MD in a Litter’s hernia of a previously diagnosed uncomplicated incidental MD is a rare presentation. This highlights the significance of removing uncomplicated incidental MD to avoid potential complications.