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large bulge returned. adhesions ? hernia?

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I had a kidney transplant 7 years ago. I developed a lare bulge about three inches above it. 2 years ago it became very painful and when pushed sounded like there was fluid in it. Had surgery for a hernia and was told it was not a hernia but adhesions that had connected to my intestines.It has since grown larger and more painful. I have bowel issues and digestive problems. recently had a CT scan and it came back normal. Any ideas?

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replied November 30th, 2013
Hernia Answer A45190
Welcome to e health forum.

Adhesions are fibrous bands that form between tissues and organs, often as a result of injury during surgery. They are more common in individuals undergoing multiple abdominal surgeries (more common with pelvic, lower abdominal surgeries, including bowel and gynecological surgeries) or conditions like endometriosis. Serious procedures like renal transplantation can also be associated with them.

Although most abdominal adhesions are asymptomatic, symptoms can present depending on the the location of the adhesions. In benign locations, they present as fluid collections (loculations). In severe cases, they present with is chronic abdominal or pelvic pain. Other symptoms include reduced appetite, vomiting, bloating, abdominal distension, constipation, etc.

No tests are available to diagnose adhesions, and adhesions cannot be seen through imaging techniques such as x rays or ultrasound. Most adhesions are found during exploratory surgery.

Treatment for abdominal adhesions is usually not necessary, as most do not cause problems. Surgery is currently the only way to break adhesions that cause pain, intestinal obstruction, or fertility problems. But more surgery, however, carries the risk of additional adhesions and is avoided when possible.

You might consult with your doctor for a proper examination and proper advice and treatment.

I hope this helps.

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