Gross dilatation of fluid-filled small bowel indicative of SBO down to the right groin where there is a hernial sac containing a loop of ileum. Note hernial sac is lateral to the pubic tubercle and compresses the femoral vein. Minimal ascetic free fluid. No portal or mesenteric venous gas. No area of bowel mucosal hypoenhancement seen.
Upper abdominal solid viscera are unremarkable.