# Incarcerated Littre’s Umbilical Hernia: A Case Report

## TL;DR

A rare case of incarcerated Littre's umbilical hernia is reported, highlighting the challenges in preoperative diagnosis and the importance of imaging techniques.

## Contribution

This case report emphasizes the diagnostic difficulties of Littre's hernia and the utility of imaging in guiding surgical decisions.

## Key findings

- Littre's hernia was confirmed intraoperatively in a 63-year-old male presenting with umbilical swelling and pain.
- Computed tomography and ultrasound are valuable in distinguishing incarcerated bowel from omentum.

## Abstract

Littre's hernia is an extremely rare type of hernia which has Meckel's diverticulum as its content. A 63-year-old male, presented to the emergency department with chief complaints of swelling and pain around the umbilicus. The patient was diagnosed with an incarcerated umbilical hernia. Following the emergency laparotomy, the intraoperative finding depicted an umbilical Littre's hernia. The patient underwent open Meckel's diverticulectomy with mesh repair. Preoperative diagnosis of Littre's hernia is unlikely due to its low incidence and lack of specific radiological and clinical findings, but the role of computed tomography scan and ultrasound are important in differentiating between strangulated or incarcerated bowel and omentum and in guiding the urgency of operative management.