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Postherpetic self-limited abdominal wall herniation

2003; Elsevier BV; Volume: 186; Issue: 2 Linguagem: Inglês

10.1016/s0002-9610(03)00174-0

1879-1883

Bassem Safadi,

Cytomegalovirus and herpesvirus research

In a 57-year-old man, herpes zoster developed in the distribution of T-9 to T-11 on the right side. The early symptoms included pain and a characteristic rash in the right flank. Within weeks of the onset of symptoms he noticed a progressive bulge in the area of the right flank that would get larger with exertion. He was seen about 3 months after the onset of symptoms. On examination he had a healed herpetic skin rash in the T-9 to T-11 dermatomes with a prominent bulge in the right flank. The abdominal and flank muscles on that side were lax compared with the left side (Fig. 1). The bulge increased in prominence with Valsalva maneuver. Five months later, the abdominal wall “herniation” resolved completely.