Physical Exam Best: The most common hernias of the abdominal wall include the groin/inguinal region, the umbilicus, and the upper-middle abdomen. Hernias may also develop anywhere one has had an incision from prior surgery. The best way to demonstrate a hernia is by physical examination. If unclear, a ct may be helpful but it can miss hernias and, in the groin especially, may not differentiate a hernia from fat.
Answered 6/18/2022
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Imaging can help: In addition to the hernias expertly listed by dr. Rosen, there are lumbar, hiatal, internal and spegalian hernias. Depending on the physical exam, and symptoms, i will obtain this test a ct abdomen/pelvis with oral contrast on some of my patients. This scan is helpful for hernia recurrance, large ventral hernias, and difficult physical exams.
Answered 12/20/2012
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