PMC5021790_01
Coronal views of CT scan abdomen and pelvis showing normal proximal appendix (vertical arrow) extending into femoral canal. A distally inflamed appendix inside the femoral hernial sac (horizontal arrow) is shown as well.
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CT scan of abdomen and pelvis was requested (Fig. 1).
Laparoscopic view of appendix before and after reduction from femoral hernial sac. A normal proximal portion and distal gangrenous appendicitis are seen.
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Once we were able to visualize the entire appendix, the tip was noticed to be gangrenous, but not perforated (Fig. 2).