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Case Reports in Surgery
Volume 2017 (2017), Article ID 9598478, 4 pages
https://doi.org/10.1155/2017/9598478
Case Report

Amyand’s Hernia, State of the Art and New Points of View

1Division of General and Hepatobiliary Surgery, Department of Surgical Sciences, Dentistry, Gynaecology and Paediatrics, University of Verona, Verona, Italy
2Department of General Surgery, Carlo Poma Hospital, Mantua, Italy

Correspondence should be addressed to Guido Mantovani

Received 21 June 2017; Accepted 31 July 2017; Published 17 September 2017

Academic Editor: Shin-ichi Kosugi

Copyright © 2017 Guido Mantovani et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Amyand’s hernia (AH) is an inguinal hernia containing the vermiform appendix, with an incidence between 0.4% and 1% of all inguinal hernias. Acute or perforated appendicitis can complicate AH. Case Presentation. A 75-year-old Caucasian man presented with incarceration of vermiform appendix in inguinal hernia sac. Diagnosis was posed preoperatively with computed tomography (CT) scan. Patient underwent urgent surgery and simultaneous appendectomy and hernia repair by Bassini’s technique were performed. Conclusions. Preoperative diagnosis of AH is rare; however it could be useful for surgeon to choose operative approach. Treatment of AH depends on grade of appendix inflammation and/or perforation. The technique utilized to repair hernia depends largely on surgeon’s preferences; the presence of inflamed or perforated appendix is not an absolute contraindication for using a prosthetic mesh.