Ricerc@Sapienza

n everyday clinical practice, an abdominal wall hernia (AWH) is rarely considered an expression or predictor of aortic aneurysmal disease; on the contrary, it should be. Actually, although rare, the association between primary AWH (including umbilical, paraumbilical, epigastric, Spigelian, inguinal and femoral hernia) and abdominal aortic aneurysm (AAA) represents a pathological duality which has drawn the attention of the medical community for the clinical originality of presentation and implication.