[Littre's hernia with appendix in its contents. Presentation of a case]

Littre's hernia is defined as any hernial sac which contains a Meckel's diverticulum. It has been reported in association with inguinal or femoral hernias principally and this hernia is rare but well described. A case is reported of a 44 years old man programmed for repair of a right inguinal hernia and we found incidentally that the sac contained a Meckel's diverticulum and the appendix. We reviewed the literature about this pathology and comment the management. It is concluded that the best management of Meckel's diverticulum is intestinal resection and the hernia, where the diverticulum was found, should be repaired.