It is Italian, but doesn’t mean what you think it means. Wanted to look up a link for the emoji but my European search alternative only showed results for the gesture in general. So here a Wikipedia link: https://en.wikipedia.org/wiki/Che_vuoi%3F

Also, in related news, today I learned:

In Malawi, the gesture refers to human testicles (machende) in the Bantu language Chichewa.