case_images: PMC4353942_01
case_images: Physical evaluation-groin bulge with inflammatory signs.
case_images: gr1.jpg
case_images: PMC4353942_01_gr1.jpg
case_images: fig0005
case_images: Physical examination revealed an irreducible groin bulge, measuring about 4 cm, below the inguinal ligament, associated with erythema and severe pain (Fig. 1).
case_images: PMC4353942_02
case_images: Intraoperatory- (A) pubis, (B) illiac crest, (C) inguinal ligament, (D) hernia sac, and (E) appendix.
case_images: gr2.jpg
case_images: PMC4353942_02_gr2.jpg
case_images: fig0010
case_images: 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).