Hiramoto Atsushi, Nagase Ryo, Nakata Yosuke, Arai Yuki, Sato Takashi
Department of Gastroenterology, Nasu Red Cross Hospital, Otawara, JPN.
Cureus. 2024 Dec 26;16(12):e76440. doi: 10.7759/cureus.76440. eCollection 2024 Dec.
A 59-year-old man visited our hospital for examination of left-sided abdominal bulging. About a week earlier, he had developed an abdominal skin rash and was diagnosed with herpes zoster. Computed tomography excluded intra-abdominal organic disease and true hernia. We diagnosed the patient with abdominal muscle palsy, i.e., abdominal pseudohernia, secondary to varicella zoster reactivation. Abdominal pseudohernia is a rare complication of herpes zoster but is not life-threatening. Nevertheless, physicians should keep this clinical entity in mind when examining a patient presenting with abdominal wall bulging.
一名59岁男性因左侧腹部膨隆来我院就诊。大约一周前，他出现腹部皮疹，被诊断为带状疱疹。计算机断层扫描排除了腹内器质性疾病和真性疝。我们诊断该患者为腹部肌肉麻痹，即腹部假疝，继发于水痘-带状疱疹病毒再激活。腹部假疝是带状疱疹的一种罕见并发症，但不危及生命。尽管如此，医生在检查腹壁膨隆的患者时应牢记这一临床情况。
