A member asked:

Can mri detect early develepment of hernia in the inguinal canal?persons who have improper inguinal canal attachment be diagnosed in advance by mri?

3 doctors weighed in across 2 answers

No-need "turn&cough": A hernia consists of a hole in the abdominal wall thru which the inner layer of the abdominal cavity protrudes, creating a sac. The best way to detect an inguinal hernia is by physical examination: pt standing and bearing down +/- coughing. This maneuver "inflates" the sac, which is what we are feeling for. Cts & mris can miss a lot of inguinal hernias since pts are laying down for the test.

Answered 12/10/2013

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Both MRI and CTs: May pick up small asymptomatic hernias but no surgical intervention is required for those. Hernia is best examined on a physical exam. There is no such thing as improper inguinal canal attachments. Inguinal hernias happen either because of weakness of the inguinal floor or dilation of the ring through which important structures pass. Mri may pick up muscle strains which can cause groin discomfort.

Answered 9/14/2014

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