Aim. We present a novel approach to a Littré hernia case. Case report. A 62-year old male presented at our department with a painless mass in the inguinal area and was successfully treated for an inguinal Littré hernia. A Lichtenstein tension-free mesh repair was used without performing simultaneous diverticulectomy. Discussion. Resection of an asymptomatic Meckel’s diverticulum remains a controversial issue. In adult population, leaving an accidentally found silent Meckel’s diverticula in situ could reduce the risk of postoperative complications without increasing late complications. Mesh-based techniques provide lower recurrence rates compared to non-mesh techniques. Conclusions. Management of asymptomatic Littré hernias presents a challenge for the operating surgeon. Treatment guidelines should be developed for the optimal management of these patients.
