Postherpetic abdominal pseudohernia. Presentation of a clinical case and literature review

Tirelli, Luciana L.; Luna, Paula Carolina; Larralde, Margarita

doi:10.1111/ijd.14146

Cited by 7 publications

(10 citation statements)

References 14 publications

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“…It is generally not done in many patients as a routine procedure, as it is an invasive and expensive procedure, which may even yield variable and confusing findings. [9] e condition is thought to be self-limiting and expectant management is usually the only recommended treatment. Prognosis of PHAP is good, with a spontaneous recovery in about 80% of patients.…”

Section: Discussionmentioning

confidence: 99%

“…Treatment includes conservative measures, such as mechanical support with a corset, adequate analgesia, and physical therapy to offer the patients symptomatic improvement. [6][7][8][9][10] One should be aware of the entity of the benign and self-limiting PHAP when examining patients with abdominal bulge so that we can avoid unnecessary surgical intervention.…”

Section: Discussionmentioning

confidence: 99%

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Post-herpetic abdominal pseudohernia – An uncommon/under-recognized complication of a common disease, herpes zoster – A case report

Ramalingam¹,

Inbamani²,

Sundaram³

2022

CSDM

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Acute zoster pain and post-herpetic neuralgia are the most common and nagging complications after herpes zoster. Sometimes, temporary paresis of the segmental nerves follows herpes zoster resulting in zoster paresis or muscle zoster. Here, we report a case of zoster paresis manifesting as post-herpetic abdominal pseudohernia. A 55-year-old male presented to the dermatology outpatient department with the complaints of intense pain, burning sensation, and paresthesia over the left side of his abdomen. He had a history of herpes zoster over the same site 2 weeks back. Then, he noticed a swelling over the left side of his abdomen, associated with bloating, decreased appetite, and easy satiety. Examination revealed hyperpigmented scars of herpes zoster in the T9-T11 dermatome along with an ipsilateral bulge of size 20 × 15 cm over the same site. The skin overlying the bulge was lax. The swelling increased in size following coughing and Valsalva maneuver. An ultrasonogram of the abdomen ruled out a ventral hernia. One should be aware of this entity, when examining patients with abdominal bulge along with herpes zoster scars, to avoid unnecessary surgeries.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Post-herpetic abdominal pseudohernia – An uncommon/under-recognized complication of a common disease, herpes zoster – A case report

Ramalingam¹,

Inbamani²,

Sundaram³

2022

CSDM

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“…PHAP is a rare complication of HZ associated with segmental zoster paresis. Patients with this condition may exhibit bulging asymmetry of the abdomen, a reducible mass of the abdomen, or diminished or absent abdominal reflexes in the context of recent HZ [2][3][4][5][6].…”

Section: Discussionmentioning

confidence: 99%

“…Diagnosis of PHAP may be made clinically by assessment of presentation and history [2,5]. Some providers may consider using ultrasound, CT, or MRI to rule out other etiologies, including true abdominal hernia, tumor, or other visceral involvement.…”

Section: Discussionmentioning

confidence: 99%

“…Post-herpetic abdominal pseudohernia (PHAP), first described in 1896, is the result of weakness to the abdominal wall by segmental zoster paresis of the abdominal muscles. It is found in about 2% of all patients diagnosed with HZ, although estimates range [2,4,5]. We describe the case of an adult male diagnosed with HZ who later developed an abdominal outpouching determined to be PHAP.…”

Section: Introductionmentioning

confidence: 95%

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Painful Abdominal Outpouching in an Adult Male

Zaladonis¹,

Applebaum²,

Hsu³

2021

Cureus

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Post-herpetic abdominal pseudohernia is a neurologic complication of herpes zoster resulting from paresis of the abdominal wall muscles ipsilateral to the eruption. This poorly known condition may raise suspicion for true abdominal wall hernia or other concerning etiologies, resulting in extensive work-up and imaging. Post-herpetic abdominal pseudohernia is a relatively benign condition, which resolves spontaneously in the majority of cases. Therefore, it is important for the clinician to be aware of this complication in order to avoid unnecessary imaging or excessive management, which may increase the cost of care and burden to the patient.

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