MRI for possible occult hernia? Tissue repair still possible?
The short of it is that I wonder if I might have an occult/hidden hernia, given the symptoms and no bulge.
Me: late 40’s, slim build, no major physical health issues, and had two inguinal repairs done at Shouldice in Toronto…one side (left?) almost 30 years ago and the other side about 17 years ago. Zero post-op or long-term issues in both cases.
I think I badly overstretched my groin and abs about 4-5 weeks ago, but that general pain cleared up, with some tenderness remaining from hip bone and pubic bone on left side (inguinal ligament?).
For the past two weeks, I get the familiar intermittent tingling/burning sensation in left groin region depending upon sitting/laying position, which reminded me of pre-op hernia discomfort, but without any telltale bulge (no testicular pain).
Two days ago, it became more acutely painful and very tender to the touch just inside the crease between thigh and groin…maybe a very tiny bit of swelling, but no visible bulge. Symptoms remained overnight, so I went to a hospital (in Montreal) but ER doctors could find no evidence of new or recurrent hernia based on physical exam, ultrasound, and CT (not sure if CT was ordered for suspected hernia or just ‘groin pain’). They also took blood and urine to rule out some other things. Puzzled about the source of my pain, I was advised to take pain/inflammation meds and come back if it gets worse again (it had settled down while I was there and is now closer to where it was for the past couple of weeks). I am reluctant to ‘wait and see’,
1. Would MRI be an appropriate next step? If so, I wonder if Dr. Towfigh might repost the protocol she uses with her radiologists (the one in an old post is blurry and hard to read when enlarged).
2. If it is indeed an occult hernia, is an open tissue repair still possible? I’m very reluctant to consider a mesh repair of any kind, given the terrible experiences some have reported…but I think Shouldice will not do anything unless there is a palpable hernia?
Many thanks for this incredible resource and your expertise!
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