Q.1.1 Acute appendicitis with abscess formation due to obstruction from faecoliths and a stricture

  • The appendix has been bisected longitudinally.
  • Occupying the lower 2/3 of the organ, there is a large faecolith.
  • Above this, the lumen appears to be kinked and divided probably by a fibrous stricture and the faecolith are causing obstruction of the lumen.
  • The superior pole of the appendix shows an abscess on its wall.
  • It has almost extended to the serosal surface.
  • The serosal surface appears hyperaemic.
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