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Related Experiment Videos

Abdominal-wall postherpetic pseudohernia.

Pedro Dantas Oliveira1, Paulo Vicente dos Santos Filho, João Eduardo Marques Tavares de Menezes Ettinger

  • 1Department of Surgery, Escola Bahiana de Medicina e Saúde Pública, Salvador, Bahia, Brazil. pedroebm@gmail.com

Hernia : the Journal of Hernias and Abdominal Wall Surgery
|June 14, 2006
PubMed
Summary

Herpes zoster can cause rare abdominal wall pseudohernias due to motor nerve damage. This case highlights the importance of suspecting this complication following a zoster rash.

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Area of Science:

  • Neurology
  • Dermatology
  • Gastroenterology

Background:

  • Herpes zoster (shingles) affects 10-20% of the population.
  • Motor complications, including abdominal wall pseudohernias, are rare but documented sequelae.
  • These pseudohernias result from axonal motor nerve damage in the affected dermatomes.

Observation:

  • A 57-year-old woman presented with a right flank protrusion 10 days after a herpes zoster rash on T11-T12 dermatomes.
  • Electroneuromyography confirmed axonal motor involvement.
  • Ultrasonography ruled out morphological defects, supporting a diagnosis of pseudohernia.

Findings:

  • The patient's abdominal wall protrusion resolved completely within 4 months.
  • This case illustrates a characteristic presentation of postherpetic pseudohernia.

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  • Literature review confirms the exceptional nature of these herpes zoster-related complications.

    • Implications:

    • Clinicians should consider postherpetic pseudohernia in patients with motor dysfunction and abdominal herniation following herpes zoster.
    • Early recognition and diagnosis are crucial for appropriate patient management.
    • Understanding this rare complication improves diagnostic accuracy and patient outcomes.