{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T15:36:07Z","timestamp":1775144167887,"version":"3.50.1"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2017,1,1]],"date-time":"2017-01-01T00:00:00Z","timestamp":1483228800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2017,2,20]],"date-time":"2017-02-20T00:00:00Z","timestamp":1487548800000},"content-version":"vor","delay-in-days":50,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>INTRODUCTION:<\/jats:title>\n                    <jats:p>The Meckel\u2019s diverticulum (MD) is the most common congenital anomaly of the gastrointestinal tract present in approximately 1\u20134% of the population; the MD duplication is exceedingly rare with only a few reports of it. Here we present the firs case of a strangulated Littre\u2019s hernia with MD duplication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PRESENTATION OF CASE:<\/jats:title>\n                    <jats:p>A 30-year-old male presented to the emergency room with clinical signs of small bowel obstruction, at physical examination, a right incarcerated inguinal hernia with erythema was found. We did a laparotomy, and two MD were found, one in the sac with ischemia, and the other 90 cm from the Bahuins valve. A diverticulectomy of the ischemic diverticulum was done, and the other MD was left in place; the inguinal region was repaired with a Lichtenstein technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION:<\/jats:title>\n                    <jats:p>The complications of the MD are 3\u20134 times more frequent in men, been an intestinal obstruction, hemorrhage, diverticulitis, ulceration, and perforation. A Littr\u00e9s hernia is when the MD is found in the sac; this is seen in the inguinal region in 50% of the cases. The management of a Littre\u2019s hernia is the resection of the MD; it could be done by an intestinal resection or by a diverticulectomy accordingly to the Park criteria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>As to our knowledge, this is the first case of an incarcerated Littre\u2019s hernia with duplication of a Meckel\u2019s diverticulum.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2017.02.032","type":"journal-article","created":{"date-parts":[[2017,2,22]],"date-time":"2017-02-22T01:01:39Z","timestamp":1487725299000},"page":"58-61","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":14,"title":["A rare case of a strangulated Littre\u2019s hernia with Meckel\u2019s diverticulum duplication. Case report and literature review"],"prefix":"10.1097","volume":"33","author":[{"given":"C.R.","family":"L\u00f3pez-Liz\u00e1rraga","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.P.","family":"S\u00e1nchez-Mu\u00f1oz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G.E.","family":"Ju\u00e1rez-L\u00f3pez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Pelayo-Orozco","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.F.","family":"De la Cerda-Trujillo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.F.","family":"Ploneda-Valencia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-17-20260114","doi-asserted-by":"crossref","first-page":"576","DOI":"10.1007\/s00595-010-4308-y","article-title":"Littre\u2019s hernia, an incarcerated ventral incisional hernia containing a strangulated meckel diverticulum: report of a case","volume":"41","author":"Citgez","year":"2011","journal-title":"Surg. Today"},{"key":"R2-17-20260114","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1007\/s10029-008-0463-0","article-title":"Incarceration of Meckel\u2019s diverticulum through a ventral incisional defect: a rare presentation of Littre\u2019s hernia","volume":"13","author":"Salemis","year":"2009","journal-title":"Hernia"},{"key":"R3-17-20260114","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1177\/014107680609901011","article-title":"Meckel\u2019s diverticulum: a systematic review","volume":"99","author":"Sagar","year":"2006","journal-title":"J. R. Soc. Med"},{"key":"R4-17-20260114","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2015\/648417","article-title":"A rare cause of acute abdomen: perforation of double Meckel\u2019s diverticulum","volume":"2015","author":"Tas","year":"2015","journal-title":"Case Rep. Gastrointest. Med"},{"key":"R5-17-20260114","first-page":"308","article-title":"Resecci\u00f3n ileal por doble diverticulo de Meckel transces\u00e1rea","volume":"79","author":"Luna-Lugo","year":"2011","journal-title":"Ginecol. Obstet. Mex"},{"key":"R6-17-20260114","doi-asserted-by":"crossref","first-page":"e321","DOI":"10.1016\/j.jemermed.2012.11.001","article-title":"Double Meckel\u2019s diverticulum presenting as acute appendicitis: a case report and literature review","volume":"44","author":"Emre","year":"2013","journal-title":"J. Emerg. Med"},{"key":"R7-17-20260114","first-page":"542","article-title":"[Meckel\u2019s diverticulum duplication revealed by acute operation of ileus: a case report]","volume":"106","author":"Urakawa","year":"2009","journal-title":"Nihon Shokakibyo Gakkai Zasshi Jpn. J. Gastro-Enterol"},{"key":"R8-17-20260114","first-page":"61","article-title":"Meckel\u2019s diverticulum duplication: case report","volume":"38","author":"Losanoff","year":"2000","journal-title":"S. Afr. 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Case Rep"},{"key":"R16-17-20260114","first-page":"250","article-title":"Surgical pathology associated with Meckels diverticulum in a tertiary hospital: 12 year review","volume":"103","author":"M\u00e9ndez-Garc\u00eda","year":"2011","journal-title":"Rev. Espanola Enfermedades Dig. Organo Soc. Espanola Patol. Dig"},{"key":"R17-17-20260114","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1097\/01.sla.0000154270.14308.5f","article-title":"Meckel diverticulum: the mayo clinic experience with 1476 patients (1950???2002)","volume":"241","author":"Park","year":"2005","journal-title":"Ann. Surg"},{"key":"R18-17-20260114","first-page":"225","article-title":"A double Meckel\u2019s diverticulum as obscure gastrointestinal bleeding cause: report of a case","volume":"52","author":"Mazza","year":"2006","journal-title":"Minerva Gastroenterol. 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