Abstract
We report a case of a patient with femoral hernia containing incarcerated Meckel's diverticulum.
The patient was an 86-year-old man with a right-sided, painful inguinal swelling. An abdominal computed tomography (CT) scan was performed, which showed a low-density area in tne right inguinal region, diagnosed as a localized inguinal tumor. Based on this diagnosis, the patient was scheduled for surgery. The surgery revealed that the tumor continued through the femoral canal, and the diagnosis of an incarcerated femoral hernia was made. The hernia sac was opened, and a Meckel's diverticulum located approximately 50 cm toward the oral side from the ileocecum was noted. Although the upper portion of the Meckel's diverticulum showed ischemic change, diverticulectomy along with a McVay repair of the femoral hernia was performed.
Regardless of the location, a hernia that contains a Meckel's diverticulum is called Littré's hernia. Incidence of a femoral hernia involving Meckel's diverticulum is rare in elderly men. It is important to suspect this condition in patients with inguinal pain, even if there is no obvious sign of bowel obstruction.
