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

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.