I am a 29 yr old female--healthy. I recently had direct hernia surgery for an ingiunal hernia that was never there. My symtoms started a yr ago with a weird tugging sensation that has now progressed into a visible lump that comes and goes. This is the weird part. I only feel it when I am digesting food in the evening. It moves up and down with the peristalsis of the intestines, I don't need to push it back nor can I force it to happen by coughing or any of the other tricks they've tried. It rises ever so slightly so it is visible a couple millimeters.It feels fairly hard almost like it is still under the muscle?? The surgeon said he ran a couple stitches but really didn't see a visible hole. About 2 days post op I noticed that it was there, the same spot, same feeling. I have been referred to another surgeon who is recommending using the scope the check things out. I have had an ultrasound that checked out ok. He is wondering it maybe my intestines have come away from the pelvic area and are hiding over on the right side, adhered to something. It hurts to push there and I feel it is a little higher up than the inuignal canal--almost over toward my hip but below the belly button. Is anyone familiar with a spigelian hernia (semilunar hernia)? Or has anyone ever had these symptoms? My regular doctor has suggested maybe I am feeling my small intestine emptying out. But why now, i'm slim but not crazy skinny!