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<p>The occult presentation of a herniated, incarcerated Meckel’s diverticulum through the ventral abdominal wall as a groin abscess is rare. In particular, it is rare to develop an enterocutaneous fistula as a first presentation of a Littre hernia. Current literature is scarce on the incidence and management of such, and findings remain controversial and heterogenous. This case report explores the clinical history, examination, investigations, and surgical treatment of a 66-year-old gentleman who presented with a right groin abscess and subsequently developed an enterocutaneous fistula, secondary to a mismanaged Littre hernia, despite thorough radiological and clinical assessment. The patient underwent definitive surgical management of their fistula and hernia and recovered completely post-operatively, with no further sequelae. Missed diagnosis of Littre hernias calls for more careful management of abdominal wall and trunk abscesses, as despite their resemblance to basic pathological processes, the true underlying disease is likely more complex.</p>

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Complicated Littre Inguinal Hernia with an Enterocutaneous Fistula: A Case Report and Literature Review

  • 期刊论文

  • 发表日期：

    2025年4月26日

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  • Omar E. S. Mostafa,
  • Mohammed Hamid,
  • Jonty Bird,
  • Akinfemi Akingboye,
  • Chaminda Sellahewa

摘要

The occult presentation of a herniated, incarcerated Meckel’s diverticulum through the ventral abdominal wall as a groin abscess is rare. In particular, it is rare to develop an enterocutaneous fistula as a first presentation of a Littre hernia. Current literature is scarce on the incidence and management of such, and findings remain controversial and heterogenous. This case report explores the clinical history, examination, investigations, and surgical treatment of a 66-year-old gentleman who presented with a right groin abscess and subsequently developed an enterocutaneous fistula, secondary to a mismanaged Littre hernia, despite thorough radiological and clinical assessment. The patient underwent definitive surgical management of their fistula and hernia and recovered completely post-operatively, with no further sequelae. Missed diagnosis of Littre hernias calls for more careful management of abdominal wall and trunk abscesses, as despite their resemblance to basic pathological processes, the true underlying disease is likely more complex.