Abdominal-wall postherpetic pseudohernia.
Herpes zoster affects 10-20% of the general population. Motor complications sometimes occur in the segments corresponding to the involved sensory dermatomes causing abdominal wall pseudohernias. We present a case of a 57-year-old woman with herpes zoster characteristical rash following T11-T12 right dermatomes. Ten days after dermatologic manifestations onset, she had developed a protrusion at the abdominal wall on the right flank. The electroneuromyography confirmed axonal motor commitment, and morphological defects were ruled out by ultrasonography. The bulge totally disappeared after 4 months of observation. Postherpetic pseudohernia must be suspected when a patient develops signs and symptoms of motor dysfunction that coincide with or follow a herpes zoster eruption resulting in abdominal-wall herniation. A review of the literature concerning these extremely exceptional sequelae of herpes zoster is presented.
Oliveira
Pedro Dantas
PD
Department of Surgery, Escola Bahiana de Medicina e Saúde Pública, Salvador, Bahia, Brazil. pedroebm@gmail.com
dos Santos Filho
Paulo Vicente
PV
de Menezes Ettinger
João Eduardo Marques Tavares
JE
Oliveira
Isabel Cristina Dantas
IC
D003937:Diagnosis, Differential; D005260:Female; D046449:Hernia, Abdominal / Q000175:diagnosis*; D006562:Herpes Zoster / Q000150:complications*; D006801:Humans; D008875:Middle Aged