PMC7683288_01
A coronal section demonstrating the distended, thick-walled appendix herniating through the femoral canal with localised fluid, lymphadenopathy and fat straining. The caecum and terminal ileum appear normal.
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The computed tomography of the abdomen and pelvis (CTAP) with contrast report revealed an inflamed appendix herniating through the right femoral canal (Fig. 1, Fig. 2).
Laparoscopic view of the reduced appendix. The appendix is turgid, ischaemic with no evidence of gangrene or perforation. The caecal base is clearly visualised as is the repaired femoral defect.
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The second phase involved diagnostic laparoscopy with appendicectomy via a standard three port laparoscopic approach (Fig. 3).