SMALL INTESTINE - Strangulated with umbilical hernia

The central specimen is a loop of small intestine which is swollen and haemorrhagic because of strangulation; the point of strangulation is well-defined. On either side is the opened excised umbilical hernia in which the bowel was trapped.
This man presented at the age of 67 with a myocardial infarct involving mainly his right ventricle; he subsequently developed tricuspid incompetence.