Trying to Get A Hernia Diagnosis

Hernia Discussion Forums Hernia Discussion Trying to Get A Hernia Diagnosis

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    • #10634
      Helene
      Member

      My daughter, college student aged 21, is in terrible pain and was just diagnosed at Thomas Jefferson University Hospital in Philadelphia via Musculoskeletal Ultrasound by an Interventional Radiologist as having bilateral inguinal hernias. The exact report states ‘In the maximum area of tenderness and bulging at the level of the inguinal ligament is a fat-containing left inguinal hernia lateral to the inferior epigastric vessels which is present during standing and Valsalva maneuvers. The hernia reduces spontaneously in the supine position and with relief of Valsalva pressure and there are no loops of bowel within the hernia. Similarly, but slightly smaller in size, is a right inguinal hernia lateral to the interior epigastric vessels that is present during Valsalva maneuvers and standing and spontaneously reduces in the supine position and with release of Valsalva pressure.”

      I figured I would have the surgery closer to home and the general surgeon, who came highly recommended, ordered a CT with oral and IV Contrast to confirm the diagnosis. He called with the negative findings saying there were no hernias and he would not do the surgery. He additionally stated that we shouldn’t permit any surgeon to operate on her and said he would recommend a Pain Management Specialist for her.
      This surgeon is actually the 2nd General Surgeon in the past year that told us that ordered and looked at a CT and said there is nothing wrong and my daughter should either take pain meds or go to see a Pain Management Specialist.

      I followed with a phone call to the Radiologist that performed the Ultra sound at the University Hospital again and she stated with complete certainty that my daughter has the hernias and that of course they wouldn’t show on a CT where she was laying down and having no abdominal pressure…that was in the report as stated above. Why would the surgeon trust the CT that is taken in a supine position when the results clearly stated the hernia wouldn’t appear?

      In the meantime, my daughter is still soooo upset. If one more Dr referred her to a pain management specialist…..we finally have the definitive diagnosis and the surgeon doubts it again.

      I totally trust the Radiologist and thank her for her definitive diagnosis. We are now following with and have an appointment with a General Surgeon back at Jefferson …which I should have done to begin with….of course I am kicking myself and feel guilty.

      I have learned so much from reading Dr Towfigh’s information and articles that I know I can’t stop advocating for my daughter. I believe we are on the right track now. I just wish Tuesday’s appointment was here already.

      The upset and frustration for the suffering patient AND the supporting family is enormous. I hope others can learn from my experience and I hope to learn from others. When you know you are doing the right thing, dont’t doubt yourself and don’t stop searching for the right answers.

    • #12624
      drtowfigh
      Keymaster

      Trying to Get A Hernia Diagnosis

      Sounds like a “hidden hernia.” I just presented my results on re value of Ultrasound vs CT vs MRI for hidden hernias and hopefully the journal will accept my manuscript. CTs are typically falsely negative. Ultrasound and MRI are much better options. Also, many films can be incorrectly interpreted anyway.
      I would find a surgeon that would provide laparoscopic exploration and hernia repair.
      If the ultrasound proves hernias, not sure why a CT scan is necessary.

    • #12625
      Helene
      Member

      Trying to Get A Hernia Diagnosis

      As a follow-up to this discussion, we are now perfectly on the right track. We had an appointment with a General Surgeon today who completely supported the findings on my daughter’s Ultrasound….and wasn’t interested in the fact that the CT Scan didn’t reproduce the results. The doctor’s answer was that the Ultrasound is the answer for a correct diagnosis for this condition.
      My daughter’s hernia surgery is scheduled for Thursday and will be done laproscopically.

      What I have learned over the past 3 years is that each time that a medical professional told me that my daughter’s pain was chronic pelvic pain, and that she should take pain meds, it was potentially just a lack of understanding how to diagnose the underlying problem and a lack of understanding how hernia symptoms may present in women.

      I need to thank you Dr Towfigh, for the information and support that you have made available. I didn’t stop looking for an answer and I didn’t stop advocating for my daughter…..until we got the right answer. I hope that others are able to benefit from your information as we have.

    • #12626
      drtowfigh
      Keymaster

      Trying to Get A Hernia Diagnosis

      Fantastic. Best of luck. And thanks for sharing your story. I hope it can help others

    • #12627
      Helene
      Member

      Trying to Get A Hernia Diagnosis

      I have one other question to which I’m not sure there is a concrete answer.
      Based on my experience, I have to believe that there is a significantly large population of women that go undiagnosed or are misdiagnosed.

      My daughter’s internist believed her pain was real and kept suggesting tests. Her Gyn agreed it was real but kept ruling out Gyn and saying not me. Over the years, prior to now, ER physicians and general surgeons have said not me and diagnosed the chronic PVC pain.

      My question is how is this condition is sooo under diagnosed and sooo misunderstood? How many women are still in pain also with doctors believing their pain has no physical cause?
      How can I help raise awareness in order to help others?

    • #12628
      drtowfigh
      Keymaster

      Trying to Get A Hernia Diagnosis

      Aha! You are now addressing one of my life goals: raising awareness of hernias among women.
      My gut feeling is you are absolutely right. Though, nationally, 7 male groin hernias are repaired for every 1 female hernia, my impression is that many more women have groin hernias than are being diagnosed and treated. It reminds me of the situation of heart disease among women.

      In my experience, inguinal hernias are under diagnosed among women because:
      1. Many doctors don’t believe women can get inguinal hernias
      2. Hernias tend to be smaller in women so they are not easy to find on examination (ie, hidden hernias)
      3. Hernia symptoms are different among women than men. Women get pain with their menses, it may radiate to their back or into their vagina or down their leg.
      4. Many cannot imagine that a small hernia can cause so much pain.
      5. Women’s pelvic anatomy is complicated by presence of ovaries, uterus, possible endometriosis.
      6. There is virtually no prospective clinical trial research done on inguinal hernias that includes women.

      I am working hard to publish my results and educate the world about women and the concept of hidden hernias. Just this past Monday, I turned in another research publication sharing the specific questions and exam findings that can diagnose a hidden hernia, mostly seen among women. For the first time in its history, with my prodding, the American Hernia Society began a panel discussion on hernias among women last year.

      I really do appreciate your posts on this forum, too, as many patients and doctors will also be able to read and learn from it.

    • #12632
      Helene
      Member

      Trying to Get A Hernia Diagnosis

      My daughter just came out of surgery….successful surgery to repair he 2 hernias.

      Is it appropriate to leave a message…spoken nicely, for the surgeon that denied their existence because of the CT results even though the Ultrasound made the determination? Do you have any other suggestions how to handle this or should I just let it go?
      My intent is as a learning experience for that doctor.

      Thank you again for your support and education on our journey to diagnose and repair these hernias, and get my daughter out of pain.

    • #12633
      drtowfigh
      Keymaster

      Trying to Get A Hernia Diagnosis

      Yes. A letter is the best way to share your experience with that doctor.
      So glad to hear of the successful operation.

    • #12635
      Helene
      Member

      Trying to Get A Hernia Diagnosis

      My daughter’s bilateral original hernia repair took place 4 days ago.
      Is it typical that she is unbelievably virtually pain free on the side that has been giving her more troubles over the past years and was a larger hernia and the side with a smaller hernia is still giving her a great deal of pain. Due to that side, she is still taking narcotics..although she is taking as little as possible. A nurse explained the possibility to me that the smaller the hernia, potentially the more painful it can be

      Tell me what you think about her record.

      Thank you

    • #12636
      drtowfigh
      Keymaster

      Trying to Get A Hernia Diagnosis

      1. Narcotics do not help with hernia pain. I recommend ice and naproxen (Aleve) for all my patients.
      2. The amount of pain is related to the type of repair, technique, and rarely to the size of the inguinal hernia itself.
      What type of repair did she have?
      Also, days 2-4 are usually worst, and then every day should be better. Please check with her surgeon, but I recommend that my patients be up and about, walking, cycling active immediately. Getting the groin moving is very helpful in the recovery.

    • #12637
      Helene
      Member

      Trying to Get A Hernia Diagnosis

      Thanks for your response. The bilateral repairs were done laparoscopically using mesh and, according to the surgeon were successful. She is up and moving, although as expected, not comfortable. One side is virtually pain free, while he other is quite painful. She has a script for Naproxen that she used for the pain prior to the long attempt to get a diagnosis.

      I do intend to call the surgeon to follow up, as she requested I do. Additionally, we have a follow up appointment next week.

      I just didn’t understand why one side is sooo good and the other side is equally not.

      I do know, though, that she is absolutely on the path to recovery and being without pain.

      Thank you again

    • #12639
      Helene
      Member

      Trying to Get A Hernia Diagnosis

      Well, I must say that you are correct. Today is day 5 post surgery and she has definitely turned the corner. She still has discomfort (as opposed to pain) at the suture site. Occasional moments of pain, but typically strictly discomfort. Naproxen is keeping it very manageable.

      It’s amazing that 5 days post hernia repairs that she is heading toward being pain free for the first time in almost 3 years….since she went to college. Hopefully this 2nd semester of junior year and her entire senior year and beyond will be uneventful.

      Thank you

    • #12641
      drtowfigh
      Keymaster

      Trying to Get A Hernia Diagnosis

      Excellent.
      Spread the word about our discussion forum. Glad could be of help.

    • #12642
      Helene
      Member

      Trying to Get A Hernia Diagnosis

      Just to put a good follow up to my daughters story.
      She is 19 days post bilateral hernia repair and had been in pain for over 3 years. Driving back from the Doctor appointment today, she said to me ” although I am still sore on just one side, I haven’t felt this good in years”

      I can’t tell you how good this made me feel yet how sad it made me feel. I am sad that it took so long to make the diagnosis. We searched for the reason for her pain for years with different doctors…including different specialties and many different scans. We didn’t stop searching until we finally found the right right radiologist and the right general surgeon.
      Of course, I am soooooooo happy because my daughter is finally basically pain free.

    • #12664
      Siris
      Member

      Trying to Get A Hernia Diagnosis

      Hi Andy,

      I am glad your daughter’s pain is resolved. I am also suffering with the same problem from 5 years but non of the imaging shows the reason for pain in my groin and lower abdomen. I am jobless and I think it could be hernia but even an mri did not show it. I cant sir or stand for more than a few minutes without pain and pressure. Is your daughter back to daily activities running and actively working .

    • #12665
      Helene
      Member

      Trying to Get A Hernia Diagnosis

      I truly understand how miserable it is to be in pain. It was actually a very detailed ultrasound that found my daughter’s hernias. Since they only appeared while pushing or bearing down, the ultrasound was actually like a movie filmed in live time that allowed the activity.

      For the first time in more than 3 years, my daughter’s abdominal pain is gone and she is returning to normal. She is walking for exercise and will soon return to running again. We actually plan on having her do some Physical Therapy to make sure she that she will be exercising correctly and not do any harm.
      I wish you the same success that we had.

    • #12671
      Geraldine75
      Member

      Trying to Get A Hernia Diagnosis

      Hello, I had the same thing. I went in for a laparoscopy procedure for my endometriosis and he found that I had bilateral hernias, he then referred me to a surgeon Dr. Cobo to discuss how to repair them. It’s been 9 years and I still have pain on my left side. For some reason only my left side was the one that hurts the most. I can feel something pulling inside when I cough or push too hard. I’m looking for a solution, but I’m afraid to go under all over again and getting the same results. I truly believe this mesh thing they put in me was the worst thing ever because ever since then I feel something in there pulling. I’m also starting to see a bulge so I know it has to do with my hernia. So now I’m wondering, did the doctor say anything to you about how long the repair last? I was naive back then and there wasn’t much information about hernias in females, so I didn’t know all the questions to ask before my procedure.

    • #12672
      Helene
      Member

      Trying to Get A Hernia Diagnosis

      I actually didn’t ask the surgeon about the expected life-time of the hernia repair. It truly never dawned on me to ask that question. Sorry, I can’t help with an answer.

    • #12683
      ldavis
      Member

      Trying to Get A Hernia Diagnosis

      Andyellen,

      I am suffering with pain similar to what you daughter had, and I live less than 2 hours from Philly, so am very interested to know WHICH surgeon (and radiologist) you saw at Jefferson. If you are willing to share those names, I am very anxious to see if I can get an appointment to see them as soon as possible, as my life is ‘on hold’ because of this pain. Thank you so much!

    • #12684
      Helene
      Member

      Trying to Get A Hernia Diagnosis

      I would be very happy to give you the names of both the Radiologist and the General Surgeon who are both affiliated with Thomas Jefferson in Philadelphia. Please understand that my experiences with both were excellent and I do highly recommend both as well. I wish you the same success in finding the cause of your pain.
      Interventional Radiologist is Dr Suzanne Long
      909 Walnut St, Ground Floor, Philadelphia. Phone (215) 955-4121
      General Surgeon is Dr Karen Chojnacki 1100 Walnut St 5th Floor, Philadelphia
      Phone (215) 955-8666

      I wish the success we had. Good luck

    • #12714
      Helene
      Member

      Trying to Get A Hernia Diagnosis

      My daughter is doing well 4 months post bilateral inguinal laparoscopic repair.
      My question regards whether it is possible or likely to have an incisional hernia from an emergency laparoscopic appendectomy that was done exactly a year ago. FYI, her previous health history in the 3 prior years includes 4 ruptured ovarian cysts. We finally got that under control after getting her on the correct birth control pill.
      Most of her scars have healed normally and are straight lines. The one scar that lies about an inch above her belly button has always been different. It is round and almost feels ‘jiggly’ or gelatinous. It is raised and actually can be seen through her shirt. There is no appearance of infection, the tissue appears clean and healthy. If you press into it, it is definitely uncomfortable, creating internal pain.
      A physician suggested to us that it may be an incisional hernia or possibly something is getting stuck at the scope insertion site.
      I have made an appointment with the same Interventional Radiologist at Thomas Jefferson Hospital in Philadelphia that found and injected her previous aponeurosis of the abdominus rectus muscle (she was a competitive field hockey player) AND discovered her bilateral inguinal hernias.

      I have 2 questions for you. One, do you believe that she could have a generalized weakness in her abdominal wall? And two, what are your thoughts about the appendectomy scar where the scope was inserted, could it possibly be an incisional hernia?

      I have been following the other discussions on this forum and I am truly amazed at the number of people that have suffered from hidden herniated as my daughter. I wish there was more that I could do to raise awareness. Thank you in advance for your opinion.

    • #12715
      drtowfigh
      Keymaster

      Trying to Get A Hernia Diagnosis

      Sounds like a straightforward Trocar site incisional hernia. This can occur if she had an infection at that site, if the fascia was stretched to remove the appendix through it, and/or if the fascia was not closed at the end of the operation. It seems your daughter also has a propensity toward herniation.

      I recommend an open repair with mesh insertion. And recreation of her belly button to make it look like a nice innie.

      Please submit a picture so others can see what a small Trocar site hernia looks like. And thanks for spreading the word about this discussion board.

    • #12718
      Helene
      Member

      Trying to Get A Hernia Diagnosis

      We have the appointment with the Radiologist the 18th of August. I will post again when the official results are in. At the moment, my daughter won’t let me take a picture….vanity at the moment. When she allows, I will do so. Thank you for your thoughts, Dr Towfigh. Once again, We want it taken care of, although I feel terrible that she is probably facing a third surgery in a year and a half. The good news is that it can be diagnosed and fixed.
      To be continued……

    • #12720
      Helene
      Member

      Trying to Get A Hernia Diagnosis

      Attached is a picture of the appendectomy scar in question. On the basis of it’s appearance, do you still believe that it could be a trocar site incisional hernia?
      Please excuse the picture quality, it is from my cell phone.
      Again, thank you for your opinion.

    • #12751
      Leo2396
      Member

      Trying to Get A Hernia Diagnosis

      Hi, I´m 37 years old man, since January suffering from pelvic pain not specified, my pain has take me to visit many doctors but nobody knows what is causing my problems, that are: pain and sensation of numbness on the rigth side of my butt, constipation, irradiation on the legsand my back. I see that hidden hernias could be the cause of my problems. I am very sad with all this because I have no diagnosis.

      Leonardo

    • #12753
      Helene
      Member

      Trying to Get A Hernia Diagnosis

      You posted your issue as a response to my daughter’s problems. As the mother of a patient, I can only say that I am sorry for your chronic pain and I hope you find a resolution.

      I believe that you posted this on my section by mistake. What you want to do is to start a new topic describing g your own symptoms and then the Doctor and/or other individual people will respond.

      I hope you find this helpful and best of luck to you.

    • #12754
      debrabaker
      Member

      Trying to Get A Hernia Diagnosis

      ‘This is a test message Please disregard

    • #12758
      drtowfigh
      Keymaster

      Trying to Get A Hernia Diagnosis

      Is the bulge at the incision? I can’t tell if the incision is there. If so, then yes, that’s a hernia at
      The Trocar site.

    • #12763
      Helene
      Member

      Trying to Get A Hernia Diagnosis

      The bulge is at the site where the scope was placed.
      It doesn’t feel the same as the original hernia bulges did. It feels ‘jiggly’ (a very non-scientific description) and seems to be more above the surface.
      She doesn’t really complain about pain at this point, it is very visible and shows through clothing.
      Should I pursue it with radiology again?
      Thank you for your advocacy’
      Through your input since I first emailed you and then continued to stay in contact via this forum, I have a daughter that is no longer in daily, constant pain and has returned to a normal life.

    • #12767
      drtowfigh
      Keymaster

      Trying to Get A Hernia Diagnosis

      Yeah! Please spread the word to your doctor and your friends!

      As for the Trocar site, it sounds like it may be a hernia. An exam by your surgeon should be all you need. And/or an ultrasound. Those are easy to fix.

    • #12804
      Helene
      Member

      Trying to Get A Hernia Diagnosis

      I would like to give a follow up report regarding my daughter who is now about 10 months post laparoscopic bilateral inguinal hernia repairs.
      It is a good news story. She has had a few scares with pelvic pain where there was concern that she had another hernia. Each time, it was ruled out via Dynamic Musculoskeletal Ultrasound at Thomas Jefferson Univ Hospital in Philadelphia. She was given total clearance to begin to exercise. We made the decision for her to have Physical Therapy….another great decision we made. The intent is to build core muscle strength and to make sure that any scar tissue doesn’t impede further progress.

      Dr Towfigh, let me thank you for support. We were on the search for 2-3 painful years to find the doctors to believe her pain had a physical basis. Getting in touch with you confirmed that I had to keep fighting to get a proper diagnosis for her. I did and it worked!

      My daughter is a second semester senior in college and finally this year, for the first time, she is having a “normal” college experience.

    • #12883
      Helene
      Member

      Trying to Get A Hernia Diagnosis

      My daughter is about 14 months post successful bilateral inguinal hernia laparoscopic surgery. She has been doing Physical Therapy to strengthen her core and break up scar tissue from previous pelvic/abdominal injury as listed earlier in this blog.

      She recently started becoming aware of discomfort in the belly button area and could feel a bulge…I could definitely feel it too. She went to her Internist who confirmed by physical exam that she indeed has an umbilical hernia. She now has an appointment with the same surgeon that did her previous surgery…the earliest availability is about 2 weeks. She is fully aware to go to the ER if there is concern of strangulation.

      My questions are:
      1) Do I need to try to schedule with a different surgeon in the group if I can get in sooner?
      2) Do you believe there is a connection to her previous inguinal hernias and muscle tear (abdominus rectus muscle)?
      3) Do you believe there could be a connection to PT? (which she has stopped)
      4) I have a mixed connective tissue disease. Do you believe this could be related to a Rheumatological issue – Connective Tissue disorder.

      Thank you in advance for your opinion. This blog is truly a wonderful support

    • #12887
      drtowfigh
      Keymaster

      Trying to Get A Hernia Diagnosis

      1) no rush to get the umbilical (belly button) hernia repair done. It is not an emergent or even urgent problem unless she has problems with pain, vomiting, the hernia content getting stuck.
      2) the only connection between her umbilical hernia and inguinal hernias is she may have a genetic predisposition toward developing hernias. Otherwise tone does not cause the other. Also, perhaps she has other risk factors for developing hernias, such as obesity, nicotine use, chronic constipation, cough, straining, repetitive lifting of heavy objects.
      3) PT does not cause hernias.
      4) mixed connective tissue disorders are among the genetic family of diseases which may predispose patients to hernias. Commonly collagen vascular disorders are associated with hernias. These include Ehlers Danlos syndrome, Marfan’s syndrome. Lupus, scleroderma, and rheumatoid arthritis are less associated with hernia, but there is a weak link.

      Thank you for your positive comments about this Forum. Please let there know about it.

    • #12911
      Helene
      Member

      Trying to Get A Hernia Diagnosis

      I’m confused now. We saw the surgeon yesterday. She said she definitely felt something but wasn’t sure if surgery was warranted. We were able to get a dynamic ultrasound by an Interventional Radiologist (the same one we have used in the past). Her finding was that there is no signs of a hernia.
      So now, I have the Internist who said Hernia, the Surgeon who said something is there but not sure if surgery is necessary and the US that said no Hernia.
      In the meantime, my daughter is not in pain but definitely has so me discomfort. Additionally, straining to make a bowel movement is difficult.

      What is your opinion in terms of next steps I should pursue or is it a wait and see if things become worse. I hate having her uncomfortable and also afraid of what will happen next.

      Thank you in advance.

    • #12914
      drtowfigh
      Keymaster

      Trying to Get A Hernia Diagnosis

      As we have reported before, a negative ultrasound is not helpful if the clinical suspicion is high for a hernia. That is, there is a high false negative rate with ultrasounds. If there is a clinical suspicion, then further imaging (CT with Valsalva without contrast) may be warranted. That said, for umbilical hernia, a physical exam is all that is usually needed. And if she has discomfort and it affects her daily activities, that warrants intervention.
      Before any procedure, I would address the straining with bowel movement. Why is she straining? That is not normal and poses a high risk for hernia development and recurrence after any repair. All straining must be cured prior to any hernia repair. If it is a constipation issue, I recommend to my patients any combination of milk of magnesia, mineral oil, and/or Miralax.

    • #12938
      Helene
      Member

      Trying to Get A Hernia Diagnosis

      Well, once again, I am thrilled to be a part of this blog…although I wish I didn’t need it. In the past few weeks since my daughter’s Dr said yes to to a hernia and yet her last Ultrasound was negative, her pain has been up and down. She tried to resume to her normal activities including running and hiking. Three days ago, she again began with excruciating pain that wouldn’t go away. Pain high enough that she considered going to the ER. We also noticed that her belly button area actually looked more flat than round…something new. Her local Doctor ordered a Stat CT Scan this afternoon and the results came in as Positive for an Umbilical Hernia. Do you believe that I am correct in assuming that the weakness was there when this most recent event happened a few weeks ago and her recent activity finally broke it open all the way?

      This time, the physical exam with the correct radiology…CT….found the hernia.

      I hate hate hate that my daughter once again has to have surgery but, on the other hand, I am happy that we have a diagnosis and she will again return to living pain free.

      Thank you again for the support you provide.

    • #13074
      drtowfigh
      Keymaster

      Are my symptoms from a hernia?

      Is she better now?

    • #12313
      Helene
      Member

      Trying to Get A Hernia Diagnosis

      My daughter is now about 2 1/2 months umbilical hernia repair. While on the operating table, the surgeon additionally cleaned up some adhesions and scar tissue from her previous appendectomy. The surgeon stated that her abdominal fascia is barely there, it is virtually see-through. He would not be surprised if she had more hernias in the future. Her days of lifting anything are over, he said, but she can once again use the treadmill at the gym. We additionally went to a rheumatologist to rule out connective tissue diseases and disorders….which she did rule out. (Thank Goodness) The Rheumatologist was excellent regarding his field of expertise, but I hate to say that he was not up to date in his information regarding hernias in women and the pain that they can cause…but I am, which was just as important, I guess.
      Thanks again to the information provided through this website, I was confident that my daughter’s pain was due to the hernia and not any other causes.
      Once again, post-surgically, my daughter is painfree and has resumed a normal existence that includes the treadmill but no lifting.
      I hope this is the last hernia she will have to deal with…..if not, we will deal with it as it comes.

    • #15846
      Jjpugsley
      Member

      1 minute ago

      This is sounding pretty familiar. My 16 year old daughter suddenly started having pain in her lower right abdomen area. Since it persisted a week, we went to the Dr. She ordered an ultrasound which showed multiple ovarian cysts. Gyn put her on the pill and said come back in 3 months. 2 months later we had another ultrasound. This showed the cysts were gone, but the pain was still constant. It was not related to her period or to eating or not eating. Exercise and activity intensified it. Next had a CT scan. They couldn’t get the dye injected but she did drink some of the other imaging liquid. Nothing found although both US and CT scan report say a “large amount of stool” and that she’s probably constipated. She isn’t. The CT scan did mention that she might have a small Meckel’s diverticulum. Next did the nuclear med scan for gastric tissue. Negative. Pain now constant and severe. Last step: we just had a diagnostic laparoscopy. Results: everything looks normal!! Didn’t even see the diverticulum. My poor girl just cried when she came out of surgery and was told. Then I found this site. It seems to fit but wouldn’t the surgeon have seen the hernia? Please note that her brother had an inguinal hernia repaired at Sholdice when he was 18. Any help would be greatly appreciated!

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