ABDOMINAL WALL PSEUDOHERNIA Article Swipe
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· 2024
· Open Access
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· DOI: https://doi.org/10.1093/bjs/znae122.273
· OA: W4399048897
Background Latrogenic, traumatic, infectious or any other pathologic reason causing temporary or permanent denervation of a segment of the muscle of the abdominal wall may result in a protrusion of a group of muscles clinically evident as a hernia, but if there is no muscle or fascial defect, then it is categorized as pseudo hernia. Aim To report a case of a 53-year-old man with a history of Multiple Sclerosis (MS) and scoliosis who presented for evaluation of a painless protrusion of his left abdominal wall flank with exacerbation on upright position. Abdominal computed tomography did not reveal any herniation of abdominal contents, but magnetic resonance imaging of chest and abdomen showed a protrusion of a herniated soft disc at the T11–T12 neural foramen. Rest and non-steroidal anti-inflammatory drugs were prescribed, and the patient was followed for six months with resolution of his pseudohernia. Conclusion This case presents a rare instance of abdominal pseudohernia due to T11–T12 radiculopathy. Though MS is characterized by central nervous system, there are some references for peripheral nerve damage. In our case, due to the temporary feature of denervation and the complete restoration of function, there is no doubt that radiculopathy was the cause.
