Abdominal Pseudohernia Caused by Zoster Sine Herpete.
Koji Tajima1, Toshiki Mushino2
1Internal Medicine, Kokuho Nokami Kosei Sogo Hospital, Kimino, JPN.
Cureus
|December 16, 2024
Summary
Abdominal pseudohernia, a rare condition, can be caused by zoster sine herpete (ZSH). Diagnosis relies on identifying abdominal muscle thinning using standing ultrasonography.
Area of Science:
- Medicine
- Radiology
Background:
- Abdominal pseudohernia is a rare condition involving abnormal abdominal wall bulging.
- Zoster sine herpete (ZSH) is a rare cause of abdominal pseudohernia, presenting without typical rash or pain.
Observation:
- A 56-year-old male presented with right abdominal wall bulging at the Th10 dermatome.
- Initial ultrasonography (US) and computed tomography (CT) scans were inconclusive.
- Standing ultrasonography revealed thinning of the abdominal muscle.
Findings:
- The key diagnostic finding for abdominal pseudohernia is the detection of abdominal muscle thinning.
- This thinning was observed between the affected and healthy abdominal wall regions.
Implications:
- Standing ultrasonography is a valuable tool for diagnosing abdominal pseudohernia, particularly when other imaging modalities fail.
- Early diagnosis of abdominal pseudohernia due to ZSH is crucial for appropriate management.
Related Concept Videos
01:30Peptic Ulcer Disease I: Introduction
133
Peptic Ulcer Disease (PUD) is characterized by mucosal excavation in the esophagus, stomach, pylorus, or duodenum. It can manifest as acute or chronic based on the extent and duration of mucosal involvement.
An acute ulcer, marked by superficial erosion and minimal inflammation, swiftly resolves upon identifying and addressing the underlying cause. In contrast, a chronic ulcer persists, potentially eroding through the muscular wall and forming fibrous tissue.
Peptic ulcers can also be...
An acute ulcer, marked by superficial erosion and minimal inflammation, swiftly resolves upon identifying and addressing the underlying cause. In contrast, a chronic ulcer persists, potentially eroding through the muscular wall and forming fibrous tissue.
Peptic ulcers can also be...
133
01:19Abdominal Regions and Quadrants
7.3K
To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
7.3K
01:24Chronic Pancreatitis I: Introduction
71
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
71
01:17Gastritis-II: Pathophysiology
242
Gastritis is marked by disruption of the mucosal barrier that usually protects the stomach tissue from digestive juices and manifests in acute and chronic forms.
In acute gastritis, the gastric mucosa becomes swollen and red and undergoes superficial erosion. Superficial ulceration may lead to bleeding.
In chronic gastritis, persistent or repeated insults lead to chronic inflammatory changes and, eventually, thinning or atrophy of the gastric tissue.
Gastritis can stem from various causes, each...
In acute gastritis, the gastric mucosa becomes swollen and red and undergoes superficial erosion. Superficial ulceration may lead to bleeding.
In chronic gastritis, persistent or repeated insults lead to chronic inflammatory changes and, eventually, thinning or atrophy of the gastric tissue.
Gastritis can stem from various causes, each...
242
01:24Esophageal Varices-I: Introduction
72
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
72
01:22Appendicitis-I: Introduction
88
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
88