{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T16:27:09Z","timestamp":1764174429826,"version":"3.44.0"},"reference-count":19,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,10,7]]},"abstract":"<jats:p>A Littre\u2019s hernia is an unusual phenomenon where a Meckel\u2019s diverticulum protrudes through a potential abdominal opening. We wish to present a unique case of a 79-year-old man with respiratory distress following a fall from standing, initially managed as a haemothorax. After a chest drain was placed, bowel contents were drained from the pleural cavity and he was taken to theatre. He had a history of minimally invasive oesophagectomy for cancer and had subsequently developed a diaphragmatic hernia. A blind ending diverticulum with a perforation at its tip was found in the left oblique lung fissure that was subsequently confirmed histologically as a perforated Meckel\u2019s diverticulum. The patient had a prolonged stay on the intensive care unit with a left-sided empyema that was managed radiologically prior to discharge. Unfortunately 4\u2009months postoperatively, he passed away from hospital-acquired pneumonia on a rehabilitation ward.<\/jats:p>","DOI":"10.1136\/bcr-2017-220902","type":"journal-article","created":{"date-parts":[[2017,10,20]],"date-time":"2017-10-20T10:40:13Z","timestamp":1508496013000},"page":"bcr-2017-220902","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Transthoracic Littre\u2019s hernia presenting with faecopneumothorax following perforation of the Meckel\u2019s diverticulum: a late complication of oesophagectomy"],"prefix":"10.1136","volume":"2017","author":[{"given":"Charles","family":"West","sequence":"first","affiliation":[{"name":"Digestive Diseases Specialty, Brighton and Sussex University Hospitals NHS Trust, Brighton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen","family":"Erskine","sequence":"additional","affiliation":[{"name":"Digestive Diseases Specialty, Brighton and 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