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Incarcerated Amyand's hernia: A case report
Salvatore Perrotti1, Dorotea Bosco1, Debora Miano1
1Departement of General Surgery and Medical-Surgical Specialty, University of Catania, Catania, Italy.
Introduction:
Inguinal hernia may contain vermiform appendix in very rare cases. This particular condition is known as Amyand's hernia and it has an incidence of 1%. Diagnosis is very difficult preoperatively, so it is usually an incidental finding.
Presentation Of Case:
We report a case of a 80 year old man with an irreducible mass in right inguinal region. During surgical procedure an Amyand's hernia was identified and we performed hernioplasty sec Trabucco and appendectomy.
Discussion:
According to Losanoff and Basson classification, our case was type 1 and its management is very controversial.
Conclusion:
Surgical treatment depends on surgeon's experience and on clinical evaluation because there are many factors that may increase morbidity and mortality.