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.