• Binod Bade Shrestha, Anmol Lamichhane, Rahav Chandra Pokhrel, Pratik Parajuli, and Prince Goyal.
• Department of Surgery, Manipal College of Medical Sciences, Pokhara, Kaski, Nepal.
• JNMA J Nepal Med Assoc. 2024 Feb 24; 62 (270): 139141139-141.

UnlabelledLittre'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.Keywordscase reports; hernia; Meckel diverticulum.

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