A 68-year-old man from Mumbai presents with acute-onset severe right groin pain and vomiting for 4 hours. On examination, he is in distress with a tender, firm, irreducible swelling in the right groin below the inguinal ligament. Abdominal examination reveals mild distension and hyperactive bowel sounds. He has a history of a painless groin bulge for 2 years that he ignored. What is the most likely diagnosis and the immediate management?

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