Tajima Koji, Mushino Toshiki
Internal Medicine, Kokuho Nokami Kosei Sogo Hospital, Kimino, JPN.
Community Medical Support Center, Wakayama Medical University, Wakayama, JPN.
Cureus. 2024 Nov 15;16(11):e73728. doi: 10.7759/cureus.73728. eCollection 2024 Nov.
Abdominal pseudohernia is a rare clinical condition characterized by an abnormal bulging of the abdominal wall. We present a 56-year-old male patient diagnosed with abdominal pseudohernia caused by zoster sine herpete (ZSH). The patient initially presented with a right abdominal wall bulging at the Th10 dermatome area. The patient did not experience any pain or rash at the site, and the ultrasonography (US) did not reveal any tumor or hernia. Computed tomography (CT) was taken in another hospital, but it failed to provide a diagnosis. During the second visit, we performed standing ultrasonography and detected the thinning of the abdominal muscle. To diagnose abdominal pseudohernia, the key point is to detect the muscle thinning between the affected site and the healthy side.
腹部假性疝是一种罕见的临床病症，其特征为腹壁异常膨出。我们报告一例56岁男性患者，诊断为无疱疹性带状疱疹（ZSH）引起的腹部假性疝。患者最初表现为胸10皮节区域的右侧腹壁膨出。患者在该部位未经历任何疼痛或皮疹，超声检查（US）未发现任何肿瘤或疝。在另一家医院进行了计算机断层扫描（CT），但未能明确诊断。在第二次就诊时，我们进行了站立位超声检查，发现腹部肌肉变薄。诊断腹部假性疝的关键在于检测患侧与健侧之间的肌肉变薄情况。
