Incarcerated Littre’s Hernia in a Child: A Case Report

Littre’s hernia is an extremely rare type of hernia which has Meckel’s diverticulum as its content. A 5-year-old child, presented to the Emergency room (ER) with chief complaints of swelling and pain in the right lower quadrant of the abdomen and groin. The patient was diagnosed with an incarcerated right inguinal hernia following inspection and palpation. Following the emergency herniotomy, the intraoperative finding revealed an incarcerated Littre’s hernia (Meckel’s diverticulum within hernial sac). The patient underwent open Meckel’s diverticulectomy with herniotomy. Preoperative diagnosis of Littre’s hernia is less likely, especially in children given it’s low incidence and lack of specific clinical findings or radiological features. Ultrasound and/or Computed tomography scan are important tools helping to differentiate between strangulated or incarcerated bowel and omentum and to decide on the urgency of operative management. KEYWORDS: Littre’s hernia, incarcerated hernia; Meckel’s diverticulum, child.