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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could A Lump In Abdomen Be A Hernia?

Abd surgery. Complete open colectomy with ileorectal anastomosis dec 11.

Sat up night post op felt a pop in right abd interior on end of interior incision.

Very thin weight 95lbs ht 5'2"

Could see purple thing on abd in area. Tender to palate the lump. Felt hard but small.

One week postop and I'm paranoid it was actually a hernia. Lump feels a little rounder, like 1/2 cm and moves. Pain in that area of abd only.

Surgeon says its not hernia but he's never palpated the area.

Should I be concerned?
Wed, 9 Apr 2014
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General Surgeon 's  Response
HI. The simple test is - Put a hand on the lump lightly- cough and see if there is increase in swelling? ( impulse on coughing.) This is classical of a hernia. If no impulse on coughing this can be a small collection of fluid and both the conditions can be proved on simple ultrasonography.
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Could A Lump In Abdomen Be A Hernia?

HI. The simple test is - Put a hand on the lump lightly- cough and see if there is increase in swelling? ( impulse on coughing.) This is classical of a hernia. If no impulse on coughing this can be a small collection of fluid and both the conditions can be proved on simple ultrasonography.