Postherpetic pseudohernia of abdominal wall: A case report

Authors

  • Uzma Bashir
  • Muhammad Irfan Anwar
  • Moizza Tahir

Keywords:

Herpes zoster, pseudohernia

Abstract

Herpes zoster is a common disease of the dorsal root ganglia and sensory nerve fibers, clinically characterized by unilateral painful vesicular eruption of the skin in a dermatomal distribution. Segmental motor weakness is a rare complication that occurs in 0-5 percent of patients and is associated with an excellent prognosis for recovery. We herein, present a case of herpes zoster complicated by segmental motor paresis of abdominal musculature resulting in pseudohernia. This rare complication of herpes zoster, with an excellent prognosis for recovery, should be recognized by dermatologists and surgeons as it can save costly consultations and evaluations. 

References

Vincent KD, Davis LS. Unilateral abdominal distention following herpes zoster outbreak. Arch Dermatol. 1998;9:1168-9

Healy C, McGreal G, Lenehan B et al. Self-limiting abdominal wall herniation and constipation following herpes zoster infection. QJM. 1998;11:788-9

Safadi BY. Postherpetic self-limited abdominal wall herniation. Am J Surg. 2003;2:148.

Broadbent WH. A case of herpetic eruption in the course of branches of the brachial plexus, followed by partial paralysis in corresponding motor nerves. Br Med J. 1866;2:460.

Giuliani A, Galati G, Parisi L et al. Postherpetic paresis mimicking an abdominal herniation. Acta Derm Venereol. 2006;86:73-4.

Kesler A, Gali-Mosberg R, Gadoth N. Acquired neurogenic abdominal wall weakness simulating abdominal hernia. Isr Med Assoc J. 2002;4:262-4.

Oliveira P, dos Santos Filho P, de Menezes Ettinger J, Oliveira I. Abdominal-wall postherpetic pseudohernia. Hernia. 2006;10:364-6.

Mancuso M, Virgili M, Pizzanelli C et al. Abdominal pseudohernia caused by herpes zoster truncal D12 radiculoneuropathy. Arch Neurol. 2006;63:1327.

Cioni R, Giannini F, Passero S et al. An electromyographic evaluation of motor complications in thoracic herpes zoster. Electromyogr Clin Neurophysiol. 1994;34:125-8.

Gottschau P, Trojaborg W. Abdominal muscle paralysis associated with herpes zoster. Acta Neurol Scand. 1991;4:344-7.

Hanakawa T, Hashimoto S, Kawamura J et al. Magnetic resonance imaging in a patient with segmental zoster paresis. Neurology. 1997;2:631-2.

Kennedy PGE. Neurological complications of varicella–zoster virus. In: Kennedy PGE, Johnson RT, eds. Infections of the Nervous System. London: Butterworth: 1987. P. 177-208.

Molinero J, Nagore E, Obon L et al. Metameric motor paresis following abdominal herpes zoster. Cutis. 2002;2:143-1.

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Published

2016-12-02

How to Cite

1.
Bashir U, Anwar MI, Tahir M. Postherpetic pseudohernia of abdominal wall: A case report. J Pak Assoc Dermatol [Internet]. 2016Dec.2 [cited 2025Mar.15];24(4):355-7. Available from: http://jpad.com.pk/index.php/jpad/article/view/227

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