{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T02:51:11Z","timestamp":1789267871660,"version":"build-2803163510"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T00:00:00Z","timestamp":1751500800000},"content-version":"vor","delay-in-days":2,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,7,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The rare occurrence of a Meckel's diverticulum within a hernial sac, known as a Littre\u2019s hernia, was first described by the French anatomist and surgeon Alexis Littr\u00e9 in the 18th century. This condition is observed in only 0.09% of strangulated hernias. Patients typically present with an irreducible lump in the groin. In this case report, we present a 66-year-old man who sought medical attention with a 72-hour history of an incarcerated inguinal hernia. Patient underwent hernia repair and intraoperatively, strangulated Meckel's diverticulum, adhered medially to the base of the sac, was identified. The patient was discharged after an uneventful recovery. This case underlines the importance for surgeons to consider Littre's hernia as a potential differential diagnosis, even in patients over 60\u00a0years old who present without overt gastrointestinal symptoms. Maintaining a high index of suspicion for this rare type of hernia can help guide appropriate diagnostic evaluation and management.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf416","type":"journal-article","created":{"date-parts":[[2025,5,31]],"date-time":"2025-05-31T07:44:46Z","timestamp":1748677486000},"source":"Crossref","is-referenced-by-count":3,"title":["Strangulated Littre's direct inguinal hernia: a case report and literature review"],"prefix":"10.1093","volume":"2025","author":[{"given":"Ahmed","family":"Khamas","sequence":"first","affiliation":[{"name":"Department of Continuing Medical Education, Garmian Health Directorate , Kalar, Sulaymaniyah 46021 ,","place":["Iraq"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salah","family":"Salih","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Baquba Teaching Hospital , Baquba, Diyala 32001 ,","place":["Iraq"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,7,3]]},"reference":[{"key":"2025070300434790900_ref1","doi-asserted-by":"publisher","first-page":"238","DOI":"10.1177\/000313480607200309","article-title":"Littre hernia: surgical anatomy, embryology, and technique of repair","volume":"72","author":"Skandalakis","year":"2006","journal-title":"Am Surg"},{"key":"2025070300434790900_ref2","doi-asserted-by":"publisher","DOI":"10.1093\/jscr\/rjac617","article-title":"Littre\u2019s hernia-a reason for resection","volume":"2023","author":"Seok","year":"2023","journal-title":"J Surg Case Rep"},{"key":"2025070300434790900_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2023.109066","article-title":"An unusual form of incisional hernia: a case report of Littre's hernia","volume":"113","author":"Trigui","journal-title":"Int J Surg Case Rep"},{"key":"2025070300434790900_ref4","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12113743","article-title":"Management of Littre Hernia - case report and systematic review of case reports","volume":"1","author":"Racareanu","journal-title":"J Clin Med"},{"key":"2025070300434790900_ref5","doi-asserted-by":"publisher","DOI":"10.11604\/pamj.2018.31.243.10740","article-title":"An unusual complication of Meckel\u2019s diverticulum: Littre\u2019s hernia","volume":"31","author":"Bouhout","journal-title":"Pan Afr Med J"},{"key":"2025070300434790900_ref6","article-title":"Meckel\u2019s diverticulum \u2013 a case study","volume":"6","author":"Patil","journal-title":"Int J Anat Var"},{"key":"2025070300434790900_ref7","doi-asserted-by":"publisher","DOI":"10.29309\/TPMJ\/2005.12.04.5103","article-title":"Littre's hernia","volume":"12","author":"Shahid","journal-title":"Professional Med J"},{"key":"2025070300434790900_ref8","doi-asserted-by":"publisher","DOI":"10.5114\/pg.2014.43580","article-title":"Strangulation of a Meckel\u2019s diverticulum in a femoral hernia (Littre\u2019s hernia)","volume":"9","author":"Misiak","journal-title":"Prz Gastroenterol"},{"key":"2025070300434790900_ref9","article-title":"Strangulated Littre's hernia: a case report and review of literature","volume":"2","author":"Datey","journal-title":"J Evol Med Dent Sci"},{"key":"2025070300434790900_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2022.107607","article-title":"Unusual form of inguinal hernia: a case report of Littr\u00e9's hernia strangled","volume":"98","author":"Essobiyou","journal-title":"Int J Surg Case Rep"},{"key":"2025070300434790900_ref11","doi-asserted-by":"crossref","first-page":"605","DOI":"10.2147\/IMCRJ.S325390","article-title":"A strangulated Meckel\u2019s diverticulum in an inguinal hernia: a case report and literature review","volume":"14","author":"Johnson","year":"2021","journal-title":"International Medical Case Reports"},{"key":"2025070300434790900_ref12","first-page":"1170","volume-title":"Bailey and Love\u2019s Short Practice of Surgery","author":"Chan","year":"2013"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/7\/rjaf416\/63649254\/rjaf416.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/7\/rjaf416\/63649254\/rjaf416.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T00:43:56Z","timestamp":1751503436000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf416\/8182750"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":12,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025,7,2]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf416","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,7]]},"published":{"date-parts":[[2025,7]]},"article-number":"rjaf416"}}