# Robotic-Assisted Laparoscopic Transabdominal Preperitoneal Repair of Littre’s Hernia: A Case Presentation and Literature Review

## TL;DR

This paper presents a rare case of Littre’s hernia in an elderly patient and reviews the literature on this uncommon condition.

## Contribution

The paper adds a new case report of robotic-assisted repair of Littre’s hernia in an adult and provides a literature review.

## Key findings

- An 82-year-old female had an incarcerated Littre’s hernia discovered during robotic-assisted laparoscopic surgery.
- A simple diverticulectomy and mesh repair were performed successfully.
- Littre’s hernia is rare and often missed during initial surgical evaluation in adults.

## Abstract

Meckel’s diverticulum is a common gastrointestinal anomaly that can remain unnoticed until adulthood and may present in a hernia sac, known as Littre’s Hernia. Littre’s hernia is a very rare entity in acute care surgery, which can be missed during index surgery or during the initial surgical evaluation. We present the case of an incarcerated Littre’s hernia, found intraoperatively during a robotic-assisted laparoscopic hernia repair, in an 82-year-old female patient. Based on intraoperative findings, a simple diverticulectomy was performed, and a mesh was used to reinforce the repair of the hernia. In addition, we are presenting a review of the current literature on Meckel’s diverticulum and Littre’s hernia, particularly among adult patients.