Yes, the pectinous label is perfect,
I agree this is a small femoral hernia,
However it is only small,
I think these small hernias when they look like this and clinical correction is required as it may not need treatment.
I see these small femoral hernia (laxity) cases regularly.
The key feature is that the femoral vein is not completely obliterated and only a small tongue of fat passes through the femoral ring just medial to the vessels at the pectinous level.
I describe these on my worksheet as some “laxity” of the femoral ring requiring clinical correlation.
You have produced beautiful images Diane.
Steve
Steve