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Thank you graciously for your reply. The open MRI was done laying down and unfortunately, without the Valsalva method. It did not show any hernia either… BUT…. because doctors couldn’t figure out why I was in as much pain as I was with the small amount of colon inflammation, a colon specialist just had my colonoscopy slides re-read at Brigham & Women’s hospital in Boston (I’m in NH). Their pathology results actually showed that I had Ischemia in the Sigmoid colon. I am still in a lot of pain at times so I’m worried that there is still Ischemia going on at that it still could be a Spigelian hernia because it hurts mostly when bending… sitting in car and during peristalsis when my stool starts to come down through the sigmoid each morning. And, each time it starts hurting, I’m basically bedridden for hours so now I’m concerned that further damage is being done and people here think it is not a hernia due to the negative MRI. We are looking into other reasons for the Ischemia, especially because I have Lupus, but my Lupus had been well under control and I have not even on any prescription medications for a while. I have a few questions regarding your message above:
1. Could you plz explain how a spigelian hernia may not show on an MRI?
2. Aside from having exploratory surgery to search for a hernia, what other options would there be? And,
3. If it actually is a Spigelian hernia causing the Ischemia in my Sigmoid… how dangerous is this to keep going in pain like this without anyone knowing what to do?
Thank you so much for any info you may have!!