Gangrenous appendicitis in a 30 y/o male. The patient presented with acute abdominal pain, nausea, vomitting, and fever of one day duration. On examination, he was febrile with tenderness and guarding in the periumbilical and right iliac fossa. Appendectomy was performed. The specimen shows blackish discoloration of the appendix with fibrino-purulent coating on the serosal surface. Microscopy revealed acute necrotizing gangrenous appendicitis. Contributed by : Dr. Sanjay D. Deshmukh, Department of Pathology, Smt. Kashibai Navale Medical College, Pune, India.