Nephrology and Dialysis Unit, Santa Maria della Scaletta Hospital, Imola, Italy.
Nephrology, Dialysis and Kidney Transplant Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
J Nephrol. 2024 Sep;37(7):2017-2019. doi: 10.1007/s40620-024-01954-3. Epub 2024 Jun 5.
Patients affected by chronic kidney disease, especially those requiring maintenance dialysis therapy, are particularly susceptible to infections, including reactivation of herpes zoster and are also at increased risk of herpes zoster complications. Postherpetic abdominal pseudohernia is a rare sequela of the infection, caused by motor neuropathy with muscle paresis, that manifests as an abdominal protrusion. In patients receiving peritoneal dialysis who may often present slight abdominal distension, the diagnosis of this complication may be challenging. We present a case of this rare neurological complication in a patient on peritoneal dialysis and discuss its etiology and management. To the best of our knowledge, this is the first report of postherpetic abdominal pseudohernia in a patient receiving kidney replacement therapy.
受慢性肾病影响的患者，尤其是需要维持透析治疗的患者，特别容易感染，包括带状疱疹的再激活，并且带状疱疹并发症的风险也会增加。疱疹后腹部假性疝是感染的罕见后遗症，由运动神经病伴肌肉弛缓引起，表现为腹部突出。在接受腹膜透析的患者中，可能经常会出现轻微的腹胀，因此诊断这种并发症可能具有挑战性。我们报告了一例腹膜透析患者中这种罕见的神经并发症，并讨论了其病因和治疗方法。据我们所知，这是首例接受肾脏替代治疗的患者发生疱疹后腹部假性疝的报告。
