PMC4353942_01
Physical evaluation-groin bulge with inflammatory signs.
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PMC4353942_01_gr1.jpg
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Physical examination revealed an irreducible groin bulge, measuring about 4 cm, below the inguinal ligament, associated with erythema and severe pain (Fig. 1).
PMC4353942_02
Intraoperatory- (A) pubis, (B) illiac crest, (C) inguinal ligament, (D) hernia sac, and (E) appendix.
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PMC4353942_02_gr2.jpg
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Inguinotomy was performed and after opening the posterior wall of the inguinal canal and hernia sac dissection it was possible to observe the presence of the appendix incarcerated in its interior, without clinical signs of appendicitis (Fig. 2).