A Rare case of Amyand’s hernia in a 67-year-old male. Case report and review of the literature

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COD: 2390_24_06_2015_ep Categorie: ,

Ivan Barillaro, Micol Sole Di Patrizi, Andrea Boccolini, Stefano Avenia, Andrea Polistena, Michele Cerroni, Alessandro Sanguinetti, Roberta Lucchini, Nicola Avenia

Ann. Ital. Chir.Published online (EP) 24 June 2015

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AIM: The aim of the study is to indicate the Amyand’s hernia as a possible complication during surgery for hernia repairperformed in emergency
CASEREPORT: A case Amyand’s hernia complicated by the presence of acute gangrenous appendicitis perforated at thebase is reported.
DISCUSSION: Amyand’s hernia is an hernia which is the vermiform appendix inside. This condition may remain asymp-tomatic and behave like a normal inguinal hernia or can simulate strangulated hernia when the hernia contains inflamedappendix.
CONCLUSION: Acute appendicitis in an incarcerated inguinal hernia is a rare event. The preoperative diagnosis is verydifficult because it simulates the behavior of a strangulated inguinal hernia. The treatment depends on the severity ofappendicitis. The appendicitis status influences the type of surgery and the type of access.