title: [The Aymand's hernia. Case report and review of the literature].
abstract: The crural hernia containing an inflamed appendix is a rare entity and must be considered a variant of the hernia first described in 1735 by Claudius Amyand. This hernia is rarely recognised and diagnosed before the surgical treatment because it is often confused with a strangled hernia. In spite of this, the clinical presentation seems to follow a well determined pathway, so is possible to argue that the uncorrect diagnosis is to be attributed to the ignorance of this hernia. We report a case of Amyand's crural hernia in a woman 57 years old. The base of the appendix was not inflamed and, according to this, we made an appendectomy. We closed the hernia defect without the use of a synthetic mesh. The post operative period was regular and free of complications.
authors.affiliation: Dipartimento di Chirurgia, U.O. Chirurgia Generale e d'Urgenza, Università degli studi di Pisa, Pisa. p.lippolis@dc.med.unipi.it
authors.forename: Piero Vincenzo
authors.initials: PV
authors.lastname: Lippolis
authors.forename: Marco
authors.initials: M
authors.lastname: Barlettai
authors.forename: Federico
authors.initials: F
authors.lastname: Filidei
authors.forename: Massimo
authors.initials: M
authors.lastname: Seccia
mesh_terms: D001062:Appendectomy; D001064:Appendicitis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D005260:Female; D006550:Hernia, Femoral / Q000150:complications*; D006801:Humans; D008875:Middle Aged