{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T02:51:16Z","timestamp":1789267876795,"version":"build-2803163510"},"reference-count":6,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,11,11]]},"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>Littr\u00e9 hernia is the rare protrusion of a Meckel\u2019s diverticulum (MD) through a hernia sac. We present a rare case of strangulated MD in a woman patient in her 90s, which required a small intestine resection. She presented with 1\u2009day of groin swelling, no features of bowel obstruction and an irreducible hernia on examination. On CT, there were radiological features of strangulation, and the patient was taken for an emergency operation. Findings included a femoral hernia containing strangulated MD with clinical features of ischaemic small bowel. The affected segment was resected, and a side-to-side anastomosis was performed. She recovered well postoperatively. This report emphasises that the clinical diagnosis of Littr\u00e9 hernia can be insidious, and the importance of imaging to aid decision-making.<\/jats:p>","DOI":"10.1136\/bcr-2024-260083","type":"journal-article","created":{"date-parts":[[2025,1,9]],"date-time":"2025-01-09T21:10:22Z","timestamp":1736457022000},"page":"e260083","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["<b>Littr<\/b>\u00e9 <b>hernia: strangulated Meckel\u2019s diverticulum requiring small intestine resection<\/b>"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-3178-8982","authenticated-orcid":false,"given":"Joyce","family":"Yu","sequence":"first","affiliation":[{"name":"Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julian","family":"Ip","sequence":"additional","affiliation":[{"name":"Northern Beaches Hospital, Frenchs Forest, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,1,9]]},"reference":[{"key":"2025082708045255000_18.1.e260083.1","doi-asserted-by":"crossref","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":"2025082708045255000_18.1.e260083.2","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000012154","article-title":"Systematic review of epidemiology, presentation, and management of Meckel\u2019s diverticulum in the 21st century","volume":"97","author":"Hansen","year":"2018","journal-title":"Medicine (Baltimore)"},{"key":"2025082708045255000_18.1.e260083.3","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1007\/s10029-018-1867-0","article-title":"Littre\u2019s hernia: a systematic review of the literature","volume":"23","author":"Schizas","year":"2019","journal-title":"Hernia"},{"key":"2025082708045255000_18.1.e260083.4","doi-asserted-by":"crossref","DOI":"10.3390\/jcm12113743","article-title":"Management of Littre Hernia-Case Report and Systematic Review of Case Reports","volume":"12","author":"R\u0103c\u0103reanu","year":"2023","journal-title":"J Clin Med"},{"key":"2025082708045255000_18.1.e260083.5","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"},{"key":"2025082708045255000_18.1.e260083.6","doi-asserted-by":"crossref","first-page":"1815","DOI":"10.1007\/s00464-009-0857-9","article-title":"The combined laparoscopic approach for the treatment of incarcerated inguinal hernia","volume":"24","author":"Hoffman","year":"2010","journal-title":"Surg Endosc"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-260083","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T15:04:58Z","timestamp":1756307098000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-260083"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":6,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,1,9]]},"published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1136\/bcr-2024-260083"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-260083","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]}}}