PMC7210473_01
The ECG with Q waves in DII, DIII and AVF, negative T waves in VI V2 and V3 without alteration of the ST segment.
gr1.jpg
PMC7210473_01_gr1.jpg
fig0005
The CT scan showed the Amyand's hernia.
gr2.jpg
PMC7210473_01_gr2.jpg
fig0010
The complementary computed tomography (CT) showed findings of acute appendicitis and probable Amyand's Hernia (Fig. 2).
Perforation of the appendix (right arrow; Perforation, left arrow: Hernia sac).. Image taken from ELSEVIER, Amyand hernia and complicated appendicitis, Case Report and surgical treatment. E. Garcia J. Martinez, C. Rosales. Surgery and surgeons. 2016; 84 (1): 54-57.
gr3.jpg
PMC7210473_01_gr3.jpg
fig0015
The intraoperative findings included a right inguino-scrotal hernia incarcerated with a necrotized hernia sac that contained the cecal appendix which was gangrenous and perforated, with significant tissue edema in the right inguinal region, blind, parietal peritoneum with pelvic peritonitis (Fig. 3, Fig. 4).