{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T02:41:50Z","timestamp":1792291310950,"version":"4.4.0"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,12,18]],"date-time":"2023-12-18T00:00:00Z","timestamp":1702857600000},"content-version":"vor","delay-in-days":0,"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":[[2024,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Littre's hernia (LH) is due to the presence of a Meckel's diverticulum (MD) in a hernial sac. It is an extremely rare condition in less than 1 % of all MD cases. It is often asymptomatic and is diagnosed incidentally during routine surgery for hernia repair. Surgery is the main treatment. Although the management of uncomplicated MD remains controversial, MD's management in the setting of either bowel obstruction or of Littre's hernia is done according to the clinical principles combined with the availability of local expertise.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case:<\/jats:title>\n                    <jats:p>We report a case of an 11-year-old boy presented to the emergency room with a diagnosis of acute obstructive syndrome. Radiological exams were inconclusive. Intra-operatively findings showed a strangulated MD trapped in a small umbilical hernia. A simple wedge resection, followed by a primary closure of the remaining defect was performed. During 12 months of observation the patient remains in good condition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>LH is an uncommon type of abdominal wall hernia. Preoperative diagnosis is difficult.<\/jats:p>\n                    <jats:p>Even abdominal ultrasound and computed tomography (CT) cannot reveal the right diagnosis and it is generally performed intraoperatively. The main treatment is surgery. Repair of a Littre hernia requires both management of Meckel's diverticulum and repair of the hernia with sutures or mesh.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>LH is a very rare type of hernia. Diagnosis is very difficult. All surgeons should be aware of this type of hernia to avoid life-threatening complications. The application of hernia repair recommendations for children may anticipate the happening of complicated LH.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2023.109182","type":"journal-article","created":{"date-parts":[[2023,12,21]],"date-time":"2023-12-21T13:01:26Z","timestamp":1703163686000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":10,"title":["Umbilical Littre hernia: A rare case report of an acute abdomen"],"prefix":"10.1097","volume":"114","author":[{"given":"Mohamed Ben","family":"Khalifa","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amel Ben","family":"Belaid","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mossaab","family":"Ghannouchi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karim","family":"Nacef","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahmoud","family":"Fodha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moez","family":"Boudokhane","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-92-20260325","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijscr.2021.106126","article-title":"Complicated Littre's umbilical hernia with normal Meckel's diverticulum: a case report and review of the literature","volume":"84","author":"Evola,","year":"2021","journal-title":"Int. J. Surg. Case Rep."},{"key":"R2-92-20260325","doi-asserted-by":"crossref","first-page":"605","DOI":"10.2147\/IMCRJ.S325390","article-title":"A strangulated Meckel's diverticulum in an inguinal hernia: a case report and literature review","volume":"14","author":"Johnson,","year":"2021","journal-title":"IMCRJ"},{"key":"R3-92-20260325","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1007\/s10029-018-1867-0","article-title":"Littre's hernia: a systematic review of the literature","volume":"23","author":"Schizas,","year":"2019","journal-title":"Hernia"},{"key":"R4-92-20260325","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2022\/6912043","article-title":"Emergency presentations of Meckel's diverticulum in adults","volume":"2022","author":"Mohammed,","year":"2022","journal-title":"Surg. Res. Pract."},{"issue":"2020","key":"R5-92-20260325","first-page":"226","article-title":"Guideline: updating consensus surgical CAseREport (SCARE) guidelines","volume":"84","author":"Agha,","year":"2020","journal-title":"Int. J. Surg."},{"key":"R6-92-20260325","article-title":"Meckel's diverticulum incarcerated in an umbilical hernia - case report","volume":"83","author":"Kurnicki,","year":"2011","journal-title":"Pol. J. Surg."},{"key":"R7-92-20260325","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijscr.2023.108011","article-title":"A case report of an asymptomatic necrotic Meckel's diverticulum in an inguinal hernia during elective surgery in a resource limited setting: Littre's hernia","volume":"105","author":"Odongo,","year":"2023","journal-title":"Int. J. Surg. Case Rep."},{"key":"R8-92-20260325","doi-asserted-by":"crossref","DOI":"10.26717\/BJSTR.2018.02.000725","article-title":"Littre hernia - an occasional cause of acute abdomen","volume":"2","author":"Janez,","year":"2018","journal-title":"BJSTR"},{"issue":"2","key":"R9-92-20260325","first-page":"78","article-title":"Que faire devant une hernie ombilicale?","volume":"20","author":"Khen-Dunlop,","year":"2007","journal-title":"J. Pediatrie Pueric."},{"key":"R10-92-20260325","article-title":"Meckel's diverticulum strangulation","author":"Ahmed,","year":"2021","journal-title":"Cureus"},{"issue":"1","key":"R11-92-20260325","first-page":"94","article-title":"Laparoscopic vs. laparoscopically assisted management of Meckel's diverticulum in children","volume":"8","author":"Duan,","year":"2015","journal-title":"Int. J. Clin. Exp. Med."},{"key":"R12-92-20260325","doi-asserted-by":"crossref","first-page":"267","DOI":"10.3389\/fped.2019.00267","article-title":"Symptomatic Meckel's diverticulum in pediatric patients\u2014case reports and systematic review of the literature","volume":"7","author":"Keese,","year":"2019","journal-title":"Front. Pediatr."},{"key":"R13-92-20260325","doi-asserted-by":"crossref","first-page":"1927","DOI":"10.1111\/ans.16585","article-title":"Littre hernia: rare presentation of computed tomography-diagnosed strangulated umbilical Littres hernia repaired with mesh","volume":"91","author":"Krishnaswamy,","year":"2021","journal-title":"ANZ J. Surg."},{"issue":"1","key":"R14-92-20260325","doi-asserted-by":"crossref","first-page":"85","DOI":"10.4103\/jiaps.jiaps_152_22","article-title":"Pediatric umbilical hernia: is repair with continuous suture safe?","volume":"28","author":"Zeng","year":"2023","journal-title":"J Indian Assoc Pediatr Surg."},{"issue":"11","key":"R15-92-20260325","first-page":"1723","article-title":"Management of asymptomatic pediatric umbilical hernias: a systematic review Journal of Pediatric Surgery","volume":"52","author":"Zens"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261223013111?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261223013111?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2023.109182","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T10:19:51Z","timestamp":1774433991000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2023.109182"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":15,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2023.109182","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2024,1]]},"assertion":[{"value":"2023-11-01","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-12-16","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}