{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T18:31:09Z","timestamp":1788201069144,"version":"build-2803163510"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Littr\u00e9\u2019s hernia is defined as the protrusion of a Meckel\u2019s diverticulum through a hernia defect; it represents fewer than 0.1% of complicated hernias, and its presentation as a recurrent hernia in the elderly is exceptional. We report an 81-year-old man with a previous open right inguinal herniorrhaphy who presented with abdominal pain, vomiting, and a non-reducible right inguinal mass consistent with intestinal obstruction. Exploratory laparotomy revealed a strangulated recurrent right inguinal hernia Nyhus IVB\/European Hernia Society (EHS) L3R (lateral inguinal hernia, size 3 [&amp;gt;3 cm], recurrent), containing a 10-cm Meckel\u2019s diverticulum located 80\u00a0cm from the ileocaecal valve, together with adjacent ileal involvement (mixed Littr\u00e9\u2019s hernia). Segmental small-bowel resection with side-to-side stapled anastomosis and primary tissue repair without mesh were performed. The patient was discharged on postoperative Day 4 and recovered uneventfully. Early intraoperative recognition and individualised surgical management are essential when contamination contraindicates prosthetic reinforcement.<\/jats:p>","DOI":"10.1093\/jscr\/rjag760","type":"journal-article","created":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T11:14:36Z","timestamp":1786965276000},"source":"Crossref","is-referenced-by-count":0,"title":["Littr\u00e9\u2019s hernia within a recurrent inguinal hernia sac: an unusual cause of acute abdomen in the elderly\u2014a case report"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-2585-8584","authenticated-orcid":false,"given":"Francisco Gil","family":"Quintero","sequence":"first","affiliation":[{"name":"Department of General Surgery, Cl\u00ednica Santa Mar\u00eda del Lago , Calle 73A #76-66, Engativ\u00e1 District, Bogot\u00e1, D.C. 111051 ,","place":["Colombia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4957-4780","authenticated-orcid":false,"given":"Cristina Judith Padilla","family":"Herrera","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Cl\u00ednica Santa Mar\u00eda del Lago , Calle 73A #76-66, Engativ\u00e1 District, Bogot\u00e1, D.C. 111051 ,","place":["Colombia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1484-9999","authenticated-orcid":false,"given":"Andr\u00e9s Felipe Ram\u00edrez","family":"Carrillo","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Cl\u00ednica Santa Mar\u00eda del Lago , Calle 73A #76-66, Engativ\u00e1 District, Bogot\u00e1, D.C. 111051 ,","place":["Colombia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-3347-1808","authenticated-orcid":false,"given":"Juli\u00e1n Camilo Ariza","family":"Rocha","sequence":"additional","affiliation":[{"name":"General Surgery Rotation, Cl\u00ednica Santa Mar\u00eda del Lago , Calle 73A #76-66, Engativ\u00e1 District, Bogot\u00e1, D.C. 111051 ,","place":["Colombia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,8,31]]},"reference":[{"key":"2026083113524250100_ref1","doi-asserted-by":"publisher","first-page":"rjac617","DOI":"10.1093\/jscr\/rjac617","article-title":"Elective inguinal hernia repair with incidental Littr\u00e9\u2019s hernia: a case report","volume":"2023","author":"Seok","year":"2023","journal-title":"J Surg Case Rep"},{"key":"2026083113524250100_ref2","doi-asserted-by":"publisher","first-page":"109066","DOI":"10.1016\/j.ijscr.2023.109066","article-title":"Strangulated incisional Littr\u00e9\u2019s hernia: a case report of a first instance","volume":"113","author":"Trigui","year":"2023","journal-title":"Int J Surg Case 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Literature review and case report","volume":"30","author":"Puentes","year":"2015","journal-title":"Rev Colomb Cir"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/9\/rjag760\/70884465\/rjag760.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/9\/rjag760\/70884465\/rjag760.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T17:52:48Z","timestamp":1788198768000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag760\/8776998"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,31]]},"references-count":15,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,8,31]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag760","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,9]]},"published":{"date-parts":[[2026,8,31]]},"article-number":"rjag760"}}