PMC6520636_01
Contrast-enhanced CT images. (A) A blind-ended tubular structure incarcerated into the right inguinal canal (circle). (B) The incarcerated appendix contained an appendocolith. (arrow) (C) Inflamed appendix with perifocal stranding (asterisk).
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The images demonstrated that a dilated appendix with appendicolith and perifocal fat stranding in the right inguinal canal (Fig. 1A-C).
Laparoscopic findings (A)An appendix incarcerated within the right inguinal canal; (B) After laparoscopic lysis of adhesions, the appendix was reduced, with no residual component left in the sac.
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After obtaining informed consent, diagnostic transabdominal laparoscopy was performed which disclosing an engorged appendix incarcerated in the right inguinal internal ring (Fig. 2A). After laparoscopic lysis of the adhesions, the appendix was reduced. The hernia sac was checked with no residual component (Fig. 2B).