Scout coronal image shows gas-filled dilated loops of small bowel.
There are dilated loops of small bowel with the transition point in the right lower quadrant. The uterus is scarred to the anterior abdominal wall. The hernia sac contains a loop of small bowel with associated mesenteric edema and engorgement of the vasa recta indicative of closed loop obstruction. The hernia sac originates in the inferior portion of the supravesical fossa and passes down into the prevesical space of Retzius compressing the anterior bladder wall. The uterus is scarred to the anterior abdominal wall.