The Surgical Abdomen
Femoral hernia occur almost exclusively in the female.
In this case there was genuine clinical confusion. A portable ultrasound didn't indicate an abscess and indicated gas, but no peristalsis to indicate a loop of bowel in the groin.
The narrow neck indicates incarceration of the hernia which contains small bowel, with the gas in the hernia suggestive of ischemia and perforation.
An incarcerated right femoral hernia with ischemic perforated small bowel as identified and treated at surgery.