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A pulsating abdominal sentation is often present for some time before rupture occurs. So this coupled with pain in the lower back can be what distinguishes it from simple backpain. A physical or ultrasound can usually detect it if one has formed. The other thing is that the chances of this...

Your wife sounds like a real fighter and has you and three beautiful children as incentive to get the best results from rehab. Don't under estimate the difference that can make. Best wishes to you all.