What is the most common contents of an indirect inguinal hernia?
Mesenteric fat, followed by small bowel loops and then colonic loops.
Left inguinal hernia containing sigmoid colon is demonstrated. This causes a mechanical large bowel obstruction, with marked proximal large and small bowel dilatation. Smaller direct right side inguinal hernia.
No free intra-abdominal fluid or gas. No pneumatosis or convincing bowel wall hypoenhancement to suggest ischaemia.