Meckel’s diverticulum is the most prevalent congenital abnormality of the gastrointestinal tract associated with many diverse and unusual complications has an incidence of 2- 3% (1) . Meckel’s Diverticulum is a true diverticulum comprising all intestinal layers. It is usually an incidental finding. Strangulation of Meckel’s diverticulum (Littre’s Hernia) is a rare anatomo -clinical form. Surgery is the mainstay of treatment. We report a very rare case of Littre hernia which is a complication of Meckel 's diverticulum and presented with an irreducible mass in right inguinal site KEY WORDS Littre's inguinal hernia ,Meckel’s diverticulum , Ectopic gastric mucosa , irreducible , peptic ulceration . INTRODUCTION Littre’s Hernia is an …show more content…
Since then hernia sacs containing only Meckel’s diverticulum have been called Littre’s hernia.1-3 Johann Friedrich Meckel (1781-1833) described diverticula of the distal ileum in 1812 and defined about the congenital origin .1-4,6 50% of the Meckel’s diverticula are in inguinal hernias, 20% in femoral, 20% in umbilical and remaining 10% in other miscellaneous hernias . complications of Meckel’s diverticula are Haemorrhage ,Obstruction , Diverticulitis ,Umbilico-enteric fistula ,Perforation ,Intussusception , Foreign bodies , Neoplasia-benign or malignant , Peptic ulceration ,Littre’s hernia . The diagnosis of a strangulated Littre’s Hernia is to be made preoperatively as the presenting signs and symptoms are more subtle and appear slowly unlike strangulated small intestine 6, 7, 9. The most useful method of detection of a Meckel diverticulum is Technetium-99m scanning. It is a method depends on ulceration and bleeding because to the heterotropic gastric mucosa (8) . The symptoms and signs of intestinal obstruction occur late. Obstruction can occur only if the base of the diverticulum is broad enough to cause narrowing of the intestinal lumen. A mass at the hernial site which is tender associated with nausea, vomiting and abdominal pain are the main symptoms. The swelling over the hernia site may be small at first, and may be missed as the cause of
It also shows as red or a little purplish in color and it gets more painful when a pressure is applied in the area.
It is important to discuss these options with your veterinarian and have your animal seen regularly as well as keeping your pet at a healthy weight. It is worth noting that on a general basis a luxation at grade 1 does not necessitate surgery, grade II could benefit from surgery depending on wear/pain and inflammation of the knee, and grade III and IV necessitate surgery. Annex 4: Umbilical Hernia An umbilical hernia is an undesired communication between the interior of the abdomen and the area bellow the skin (subcutaneous) in the area of the umbilicus (belly button). This communication is due to the fact that the muscle wall of the animal did not close completely after the mother cut the umbilical cord at birth.
It’s common sense, a strange lump is always a bad sign. Although this particular lump was unique, even to the examining doctor Howard Jones. He described it as “shiny and purple like grape jello”. (Henrietta Lacks, p. 36) That “knot” Henrietta felt inside her was Epidermoid Carcinoma of the cervix and it was at stage
Compression symptoms affecting adjacent organs. 3. Severe pain on the left side of the abdomen may be due to acute expansion or rupture of the aneurysm. 4. Abdominal distension, shock, and death may occur due to rupture into the peritoneum.
Like abdominal cramps, fever, diarrhea and weight loss were observed in the patients, particularly to young adults. In 1923, surgeons at Mt Sinai Hospital in New York identified 12 patients with similar symptoms. In the 1930, Dr. Burrill B. Crohn pointed out similar findings in two patients whom he was treating. On May
From research on the internet on several medical websites, I found out this diagnosis is often given when the doctor has no idea what is wrong with you. Well, most of the time that is true. “The pain will go away in a couple of weeks,” they told me. “And if it doesn’t?” my mom
This condition is also called a gallbladder attack. Gallstones can be as small as a grain of sand or as big as a golf ball. There could be just one gallstone in the
Coughing was the preceding event in 9 (32%) patients, physical exercise in 6 (21%), vaginal delivery in 4 (14%), vomiting in 2 (7%) and massage in 1 (4%); no history was available for single comatose patient. There were 5 (18%) patients in whom no effort preceded the hernia. Hamaoui et al. [9] reported a case of spontaneous diaphragmatic hernia in a 35-year-old male patient with Ehlers-Danlos syndrome, a genetic disorder that causes abnormalities in the synthesis and structure of collagen and can lead to multiple anatomical defects. Pehar et al.
Gastroesophageal Reflux Scan A gastroesophageal reflux scan is a procedure used to check for gastroesophageal reflux, which is the backward flow of stomach contents into the tube that carries food from the mouth to the stomach (esophagus). The scan can also show if any stomach contents are inhaled (aspirated) into your lungs. You may need this scan if you have symptoms such as heartburn, vomiting, swallowing problems, or regurgitation. Regurgitation means that swallowed food is returning from the stomach to the esophagus. For this scan, you will drink a liquid that contains a small amount of a radioactive substance (tracer).
The purpose of this research is to give new information on the diagnosis and treatment of a sports hernia while also giving new information on a new minimal repair surgical technique. What exactly is a sports hernia how do you diagnose it and how does it differentiate from a hernia? A sports hernia also known as athletic pubalgia is a strain or tear of any soft tissue, muscle, tendon, ligament in the lower abdomen or groin area. While a regular hernia is the exit of an organ, usually your intestine through a hole formed in the fascia usually due to stretching of the fascia. What usually causes sports hernia on athletes is the high acceleration and deceleration with repetitive, high-speed twisting and cutting motions.
So, when you hear Diverticulitis most of you are thinking about this weird medical tragedy. When in reality it is really a common medical matter. Diverticulitis is an inflammation of the digestive system. If you think about all the medical terminology in the show
Diverticulitis This sporadic disease can be somewhat mysterious, which sparks curiosity for further investigation. Diverticulitis, one of many detrimental diseases, stuck out particularly because of its unusual complications and possible deadly side effects. Out of millions of diseases, what astounding traits make this one so common? The three main ideas that are meant to be covered are: The components that make diverticulitis a problem, the action that may be taken to treat or prevent, and finally what makes this a gateway disease to other health problems. If actions are not taken quickly, the results may end up fatal.
Pancreatic cancer has a fatality case of 95%, making it one of the leading causes of cancer deaths, and there is often a poor prognosis (1). The pancreas, an elongated and flat glandular organ, can produce new cells that have the potential to become cancerous – usually adenocarcinomas. A benign tumour is less likely to be harmful and can usually be removed without growing back. Both the endocrine and exocrine functional cells of the pancreas are capable of developing cancer cells. Pancreatic cancer can spread beyond the pancreas to other organs, such as the small intestine, liver and spleen, by cancer cells shedding from the main tumour into structures in the abdomen, leading to the formation of new tumours on the surface of nearby organs and tissues.
The appendix is a tubular, blind ending structure at the base of the cecum averaging 3 inches in length, with no known physiology. Acute appendicitis is inflammation of the appendix and is seen to have the greatest occurrence between the ages of 10-19 years.1 Patients with acute appendicitis commonly show a positive McBurney’s sign.1,2,3 Luminal obstruction and inflammation are the most common causes resulting from hyperplasia, parasites and foreign bodies in the appendix.2 Computed Tomography (CT), Magnetic Resonance Imaging (MRI) and Ultrasound (US) are all imaging modalities with special qualities specific in finding causes for abdominal pain including appendicitis. Ultrasound, being operator dependent, has specific techniques used in locating the appendix and visualizing abnormalities that correlate with appendicitis. Differentials for acute appendicitis consist of gastrointestinal structural and pelvic pathologies.2,4 Appendectomy (surgical removal of the appendix) is used as treatment along with rare incidences of nonsurgical, antibiotic treatments.5
It lies to the left of the midline and enters the abdomen through the oesophageal aperture (formed by the two diaphragmatic crura) opposite the level of the tenth thoracic vertebra. It runs obliquely to the left and slightly posteriorly, and ends at the gastro-oesophageal junction/cardiac orifice of the stomach. The abdominal oesophagus lies posterior to the left lobe of the liver, which it grooves slightly, anterior to the left crus, the left inferior phrenic vessels and the left greater splanchnic nerve; its surface is covered in a thin layer of connective tissue and visceral peritoneum which contains the anterior and posterior vagi as well as the oesophageal branches of the left gastric vessels. The anterior vagus may be single or composed of multiple trunks, and is closely related to the outer fibres of the longitudinal muscle coat of the oesophagus. The posterior vagus is usually a single trunk and is less closely applied to the oesophageal muscle within the loose connective tissue, which makes its identification during surgery somewhat easier.