Ivan Barillaro
University of Perugia, Medical School, General and Endocrin Surgery Unit, “S. Maria” University Hospital, (Head Prof N. Avenia), Terni, Italy
Micol Sole Di Patrizi
University of Perugia, Medical School, General and Endocrin Surgery Unit, “S. Maria” University Hospital, (Head Prof N. Avenia), Terni, Italy
Andrea Boccolini
University of Perugia, Medical School, General and Endocrin Surgery Unit, “S. Maria” University Hospital, (Head Prof N. Avenia), Terni, Italy
Stefano Avenia
University of Perugia, Medical School, General and Endocrin Surgery Unit, “S. Maria” University Hospital, (Head Prof N. Avenia), Terni, Italy
Andrea Polistena
University of Perugia, Medical School, General and Endocrin Surgery Unit, “S. Maria” University Hospital, (Head Prof N. Avenia), Terni, Italy
Michele Cerroni
University of Perugia, Medical School, General and Endocrin Surgery Unit, “S. Maria” University Hospital, (Head Prof N. Avenia), Terni, Italy
Alessandro Sanguinetti
University of Perugia, Medical School, General and Endocrin Surgery Unit, “S. Maria” University Hospital, (Head Prof N. Avenia), Terni, Italy
Roberta Lucchini
University of Perugia, Medical School, General and Endocrin Surgery Unit, “S. Maria” University Hospital, (Head Prof N. Avenia), Terni, Italy
Nicola Avenia
University of Perugia, Medical School, General and Endocrin Surgery Unit, “S. Maria” University Hospital, (Head Prof N. Avenia), Terni, Italy
Abstract
AIM: The aim of the study is to indicate the Amyand’s hernia as a possible complication during surgery for hernia repair performed in emergency
CASE REPORT: A case Amyand’s hernia complicated by the presence of acute gangrenous appendicitis perforated at the base is reported.
DISCUSSION: Amyand’s hernia is an hernia which is the vermiform appendix inside. This condition may remain asymptomatic and behave like a normal inguinal hernia or can simulate strangulated hernia when the hernia contains inflamed appendix.
CONCLUSION: Acute appendicitis in an incarcerated inguinal hernia is a rare event. The preoperative diagnosis is very difficult because it simulates the behavior of a strangulated inguinal hernia. The treatment depends on the severity of appendicitis. The appendicitis status influences the type of surgery and the type of access.