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High grade small bowel obstruction with gradual admixing of oral contrast with unspecified distal small bowel loops. Transition in the right lower quadrant at the site of femoral hernia, with contains a hairpin turn of mildly thickened small bowel. The hernia neck is below the origin of the inferior epigastric artery, passing under the inguinal ligament (linear ligament best seen on coronal images), and results in compression of the femoral vein (indicating a femoral hernia).
Distal small bowel is decompressed.