case_images: PMC11831981_01
case_images: Abdominal CT-scans on initial presentation (a) and day 5 (b). A large fluid collection (*) can be seen in the right lower abdominal wall. After drainage, the appendix (white arrow) could be identified inside the abscess cavity, indicating the existence of a PVH.
case_images: rjae847f1.jpg
case_images: PMC11831981_01_rjae847f1.jpg
case_images: f1
case_images: A computed tomography (CT) scan showed a large fluid collection in the abdominal wall, primarily interpreted as a superinfected hematoma (Fig. 1). Abdominal CT was repeated, which now revealed acute appendicitis inside an atypical PVH in the right peri-inguinal region (Fig. 1).
case_images: Intraoperative view on the hernia orifice containing terminal ileum (a) and the appendix (b).
case_images: rjae847f2.jpg
case_images: PMC11831981_01_rjae847f2.jpg
case_images: f2
case_images: Intraoperatively, a segment of terminal ileum and the appendix were found trapped inside the hernia orifice (Fig. 2).
case_images: The abscess wound 2 days after application of a negative-pressure wound therapy device.
case_images: rjae847f3.jpg
case_images: PMC11831981_01_rjae847f3.jpg
case_images: f3
case_images: The remaining abscess cavity was generously incised, debrided and left open to facilitate secondary wound closure (Fig. 3).