Incorrect. Pus would be present inside an abscess, formed by a mix of bacteria and immune cells. As we ruled out an abscess, pus would not be present.

Incorrect. The ascending colon is anchored to the posterolateral wall (a secondarily retroperitoneal structure). Thus, it is unlikely that the ascending colon becomes detached and enters the hernia. Similarly, while the transvers colon in some individuals can hang very low in the abdominal cavity it would have to be uncommonly long and descended to enter the hernia. The descending and sigmoid colon are on the left side, not the right.

Correct! The small intestines 'hang' inferiorly and are quite mobile, thus they are of strong probability to enter into this hernia given that the patient is reporting symptoms consistent with mild obstruction (reduced bowel movements and bloated feeling). The mild obstructive symptoms suggest there is a loop or loops of bowel in the hernia that are becoming blocked intermittently or partially. 

Incorrect. Although technically if there are intestinal loops in the lump there will be associated mesentary. But the mass is less likely to contain only mesentary as the patient reports symptoms consistent with mild gastrointestinal obstruction suggesting bowel loops are in the mass and partially constricted (reduced bowel movements and bloated feeling).

Incorrect. The sigmoid colon is on the left, not the right. Although this would be a good choice for a left side hernia.