{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T15:13:48Z","timestamp":1782486828782,"version":"3.54.5"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,6,10]],"date-time":"2019-06-10T00:00:00Z","timestamp":1560124800000},"content-version":"vor","delay-in-days":160,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Surgery"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:p>\n                    <jats:italic>Introduction<\/jats:italic>\n                    . Inguinal hernia is the most common condition in both male and female subjects. Amyand\u2019s hernia is characterized by the presence of the cecal appendix, swollen or not, inside the inguinal hernia sac. It is a rare condition and represents 1% of all the inguinal hernia pathology. Littre\u2019s hernia (LH) is a condition defined by the presence of a Meckel diverticulum (MD) inside a hernial sac. It is an extremely rare condition, with less than 50 cases reported in the last three hundred years, present in only 1% of all diagnosed MD.\n                    <jats:italic>Case Presentation<\/jats:italic>\n                    . A six\u2010year\u2010old male patient presented with a history of two bilateral protruding masses in the inguinal\u2010scrotal region that have continued to grow since birth. No gastrointestinal symptoms were reported. Physical examination showed a bilateral inguinoscrotal mass which increased in size during the Valsalva maneuver. Surgical intervention was carried out with a bilateral hernia repair being performed under an anterior method, the surgical invagination of the MD within the small intestine and the appendix within the caecum.\n                    <jats:italic>Conclusion<\/jats:italic>\n                    . Both entities should be considered as a differential diagnosis when it comes to a pediatric patient with unilateral or bilateral inguinal hernias with an uncertain etiology, allowing an early diagnosis and prompt treatment. We present here the first recorded case of both Amyand\u2019s hernia and Littre\u2019s hernia presenting simultaneously in a pediatric patient.\n                  <\/jats:p>","DOI":"10.1155\/2019\/4217329","type":"journal-article","created":{"date-parts":[[2019,6,10]],"date-time":"2019-06-10T19:31:00Z","timestamp":1560195060000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Simultaneous Presentation of a Right Littre\u2019s Hernia and a Left Amyand\u2019s Hernia in a School\u2010Aged Patient"],"prefix":"10.1155","volume":"2019","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6380-4004","authenticated-orcid":false,"given":"Andr\u00e9s Eduardo","family":"Vel\u00e1squez-Bueso","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis Enrique","family":"S\u00e1nchez-Sierra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sergio David","family":"Villeda-Rodr\u00edguez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4669-4098","authenticated-orcid":false,"given":"Roberto Antonio","family":"Mart\u00ednez-Quiroz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,6,10]]},"reference":[{"key":"e_1_2_6_1_2","doi-asserted-by":"publisher","DOI":"10.18359\/rmed.2644"},{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amsu.2015.03.007"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.rehah.2014.03.002"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.5455\/2349-2902.isj20140514"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/1749-7922-5-14"},{"key":"e_1_2_6_6_2","first-page":"177","article-title":"Combined Littre and Richter\u2019s femoral hernia: an extremely rare intra- operative finding","volume":"39","author":"Loannidis A.","year":"2018","journal-title":"Il Giornale di Chirurgia"},{"key":"e_1_2_6_7_2","doi-asserted-by":"crossref","first-page":"302","DOI":"10.4067\/S0718-40262007000400011","article-title":"Hernia de Littre. Reporte de un caso","volume":"59","author":"Pozo C.","year":"2007","journal-title":"Revista chilena de cirug\u00eda"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0043-102179"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-005-1414-9"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2013.07.043"},{"key":"e_1_2_6_11_2","first-page":"424","article-title":"Left-sided Amyand\u2019s hernia","volume":"46","author":"Gupta S.","year":"2005","journal-title":"Singapore Medical Journal"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-008-0331-y"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.12659\/msm.889873"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(12)60777-6"},{"key":"e_1_2_6_15_2","first-page":"249","article-title":"Reporte de un caso cl\u00ednico","volume":"55","author":"Tomezzoli S.","year":"2013","journal-title":"Revista del hospital de ni\u00f1os de Buenos Aires."},{"key":"e_1_2_6_16_2","first-page":"186","article-title":"Hernia de Littr\u00e9, una causa poco frecuente de obstrucci\u00f3n intestinal","volume":"80","author":"Al\u00e1ez-Chillar\u00f3n A. B.","year":"2012","journal-title":"Cirugia y Cirujanos"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2017.02.032"},{"key":"e_1_2_6_18_2","first-page":"125","article-title":"A case of Littr\u00e9\u2019s hernia at Zinder National Hospital, Zinder, Niger","volume":"6","author":"Amadou Magagi I.","year":"2016","journal-title":"Journal of the West African College of Surgeons"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.4321\/s1130-01082010000800011"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2014.07.009"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-017-1607-x"},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jviscsurg.2015.12.006"},{"key":"e_1_2_6_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2011.04.001"},{"key":"e_1_2_6_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2015.04.008"},{"key":"e_1_2_6_25_2","first-page":"277","article-title":"Pediatric inguinal hernia: laparoscopic versus open surgery","volume":"12","author":"Saranga Bharathi R.","year":"2008","journal-title":"Journal of the Society of Laparoendoscopic Surgeons"}],"container-title":["Case Reports in Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/cris\/2019\/4217329.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cris\/2019\/4217329.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/2019\/4217329","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T00:39:39Z","timestamp":1762475979000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/2019\/4217329"}},"subtitle":[],"editor":[{"given":"Gabriel","family":"Sandblom","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2019,1]]},"references-count":25,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,1]]}},"alternative-id":["10.1155\/2019\/4217329"],"URL":"https:\/\/doi.org\/10.1155\/2019\/4217329","archive":["Portico"],"relation":{},"ISSN":["2090-6900","2090-6919"],"issn-type":[{"value":"2090-6900","type":"print"},{"value":"2090-6919","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,1]]},"assertion":[{"value":"2019-02-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-05-16","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-06-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"4217329"}}