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  • Emergency imaging of a rare cause of inguinal swelling: Amyand’s hernia with perforated appendicitis and abscess–cutaneous fistula – a case report and review of the literature

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Case Reports: Rare disease
Emergency imaging of a rare cause of inguinal swelling: Amyand’s hernia with perforated appendicitis and abscess–cutaneous fistula – a case report and review of the literature
  1. Guido Marzocchi1,
  2. Elena Borlandelli1,
  3. Mauro Branchini1 and
  4. Luigi Lovato2
  1. 1Emergency Radiology, IRCCS Azienda Ospedaliero-Universitaria di Bologna Policlinico S Orsola-Malpighi, Bologna, Emilia-Romagna, Italy
  2. 2Radiology Department, IRCCS Azienda Ospedaliero-Universitaria di Bologna Policlinico S Orsola-Malpighi, Bologna, Emilia-Romagna, Italy
  1. Correspondence to Dr Guido Marzocchi; guido.marzocchi{at}gmail.com

Abstract

Inguinal hernias containing the appendix are rare, but even more exceptional is the occurrence of complicated appendicitis within the hernial sac with a cutaneous fistula. We report the case of a man in his 50s presenting to the emergency department with a right-sided erythematous and painful inguinal swelling secreting seropurulent material. A perforated appendix within an inguinal hernia complicated by an appendico-cutaneous fistula was diagnosed.

  • Emergency medicine
  • Radiology

https://doi.org/10.1136/bcr-2022-250436

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    Footnotes

    • Contributors GM: editing and critical revision. EB: writing of the first draft. MB: data collection. LL: final approval.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.