PMC5683743_01
Groin exploration revealed a femoral defect containing the appendix and tip appendicitis.
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PMC5683743_01_gr1.jpg
fig0005
Examination of the inguinal canal demonstrated an intact transversalis fascia and no indirect hernia sac within the spermatic cord (Fig. 1). It was necrotic, and contained the distal appendix which was perforated and necrotic (Fig. 1).