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Appendiceal abscess in a giant left-sided inguinoscrotal hernia: a rare case of Amyand hernia
Journal article published in 2015 by
Massimo Mongardini,
Alessandro Maturo,
Livia De Anna,
Giada Livadoti,
Valerio D'Orazi,
Valerio D’Orazi 
,
Paolo Urciuoli,
Filippo Custureri
,
Paolo Urciuoli,
Filippo Custureri
Abstract
The hernia of Amyand is an inguinal hernia containing the appendix in the sac. It is a rare pathology often diagnosed only intra-operatively. We report a case even more rare of a giant left-sided inguinoscrotal Amyand hernia with appendiceal abscess without clinical findings of incarceration/strangulation, occlusion, perforation, or acute scrotum and with the presence in the sac of the caecum and other anatomical structures (last ileal loops, bladder and omentum). The 68-years-old man patient successfully underwent surgical treatment only through the hernia sac (meshless repair according to Postempski technique).