DOI: 10.36347/sjams.2017.v05i04.062

Pages: 1549-1551

Littre’s hernia is a rare finding consisting of a Meckel’s diverticulum inside hernia sac. Clinically, it is indistinguishable from a hernia involving small bowel and therefore may be difficult to diagnose pre-operatively. We are reporting a case of direct inguinal hernia involving Meckel’s diverticulum measuring 4 cm in length. The diverticulum along with gangrenous ileal segment was resected and end to end anastomosis done with single layered suturing the hernia was repaired without complication. Meckel’s diverticulum is an embryologic remnant of the vitelline duct occurring in 1–3% of the adult population with an estimated 4% becoming complicated and presenting with intestinal obstruction, infection, bleeding or herniation. Surgical resection is the recommended treatment for any Meckel’s diverticulum causing symptoms. In the case of a Littre’s hernia, resection of the diverticulum should be followed by repair of the fascial defect in a standard fashion. Littre’s hernia, although rare, should be a consideration at the time of repair for any abdominal hernia involving small bowel as resection of the Meckel’s diverticulum is critical in avoiding recurrent complications. Definitive treatment includes surgical resection of the diverticulum followed by a standard repair of the inguinal hernia.