- The mouth and tongue were normal.
- The oesophagus was normal, but there was some evidence of gastric reflux in the lower third.
- On cutting into the peritoneal cavity, foul-smelling gas escaped under some pressure. As you can clearly see in the image below (left), there was approximately three litres of foul-smelling, green-brown liquid in the peritoneal cavity; this seems to have covered the whole of the abdominal contents, and caused the omentum to become green and stick to the abdominal wall in several areas. The image on the below (right) shows the peritoneal cavity once the fluid was removed.
- The stomach showed evidence of gastritis, and the duodenum was inflamed about 10cm from the pyloric sphincter. A small hole, about 1.5cm in diameter, was found at the centre of the inflamed area; there was a streaky area of fat necrosis around the hole on the external surface of the duodenum (see image below).
- The rest of the small intestine was adherent to the omentum.
- The liver weighed 1200g and had a normal external appearance and cut surface
- A large (2cm diameter) stone was present in the extrahepatic bile duct (image below-left); the gall bladder itself was distended and contained several large gallstones (image below-right).
- The pancreas was normal.