PMC9938938_01
Computerised Tomography (CT) scan of abdomen and pelvis, (a) axial, (b) coronal and (c) sagittal sections in portal venous phase demonstrates terminal ileum, cecum and tip of appendix (white arrows) entering the right inguinal canal and thickened wall of the appendix with periappendiceal fat stranding.
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FIG1
Proximal small bowel loops and caecum were mildly distended; no other abnormalities were noted (Figure 1).
Laparoscopic view demonstrates the tip of the appendix within the right inguinal hernia sac and surrounding abscess.
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FIG2
At laparoscopy the appendix was found to be gangrenous with localised abscess collection, the tip of the appendix was contained within the right indirect inguinal hernia sac (Figure 2).