Reply To: Kudos to Stephen Kwon/Dr Kang

Hernia Discussion Forums Hernia Discussion Kudos to Stephen Kwon/Dr Kang Reply To: Kudos to Stephen Kwon/Dr Kang


What you need is a proper diagnosis and MRI is likely the best tool for that.

With the caveat that your case may be different because you have had mesh removal, MRI is the more reliable imaging method for detecting non-palpable ‘hidden’ hernias:

“Magnetic resonance imaging is by far the most sensitive, specific, and reliable modality to diagnose inguinal hernias. This compares with the very low performance of CT. Ultrasonography historically has been the first line of approach for evaluation of inguinal hernias. Our data show that US may be a good first-line diagnostic tool for patients with typical physical examination findings of inguinal hernias, but it is of poor reliability for evaluating any patient with a possible occult hernia.

Based on our results, we recommend that patients with clinical suspicion of inguinal hernia, without typical physical examination findings, undergo MRI…Certainly, if clinical suspicion exists in light of negative US and/or CT scan results, MRI should be pursued because other modalities are not reliable in the evaluation of hidden hernias”.

Further, imaging reports of any kind may miss ‘hidden’ hernias when they are not read by a radiologist (or hernia specialist) who really knows what they are looking for:

If I were in your shoes, I would get MRI done and I would ensure the results are read by (or sent to) someone who is better positioned to properly interpret them.

Dr. Towfigh has repeatedly mentioned that she is happy to have MRI sent to her for review (she was involved in both of the studies posted above – she has specific knowledge and experience in this area).

Another benefit of MRI is that it may yield more insight if you don’t have a hernia and the symptoms are stemming from some other problem.

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