PMC5121154_01
On accessing the abdomen, an amalgamated mass of omentum and small bowel was identified in the right iliac fossa.
gr1.jpg
PMC5121154_01_gr1.jpg
fig0005
Following delicate retraction of the appendix through the hernial defect, a gangrenous appendix with a perforated tip was demonstrated (Fig. 1, Fig. 2, Fig. 3, Fig. 4, Fig. 5).
Upon retraction of the appendix from the right internal ring, a gangrenous and perforated tip is demonstrated with a faecolith and a defect in the internal ring.
gr3.jpg
PMC5121154_01_gr3.jpg
fig0015
Following delicate retraction of the appendix through the hernial defect, a gangrenous appendix with a perforated tip was demonstrated (Fig. 1, Fig. 2, Fig. 3, Fig. 4, Fig. 5).
The appendix and omentum were retracted from the internal ring with congestion and inflammation at the interior border of the ring.
gr5.jpg
PMC5121154_01_gr5.jpg
fig0025
Following delicate retraction of the appendix through the hernial defect, a gangrenous appendix with a perforated tip was demonstrated (Fig. 1, Fig. 2, Fig. 3, Fig. 4, Fig. 5).