Abdominal wall pseudohernia following video-assisted thoracoscopy and pleural biopsy

Durham-Hall, A.; Wallis, Sebastian; Butt, I; Shrestha, Badri Man

doi:10.1007/s10029-008-0401-1

Cited by 13 publications

(10 citation statements)

References 8 publications

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“…Abdominal wall pseudohernias caused by diabetic radiculopathy, herpes zoster infection, or muscle denervation after surgery have been reported in the past. [5][6][7][8][9] However, in our case, the pseudohernia resulted from an injury to an abdominal muscle nerve caused by severe contusion due to a traffic accident and subsequent atrophy and weakness of the abdominal wall. To our knowledge, this is the first reported case of pseudohernia after a traffic accident.…”

Section: Discussionmentioning

confidence: 63%

Laparoscopic decision‐making concerning the repair area for traumatic abdominal wall pseudohernia: A case report

Kaiwa

Maida

Sekiguchi

2019

Asian J Endoscop Surgery

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Laparoscopic decision‐making may be useful for accurately determining the repair area when treating abdominal wall pseudohernia. A 31‐year‐old man was admitted with a pelvic ring fracture after a traffic accident and underwent orthopedic surgery. Five months after surgery, the patient developed a lower abdominal protrusion. CT revealed abdominal wall bulging and thinning of the abdominal muscle but no musculofascial defects, suggesting a pseudohernia. We reconstructed the abdominal wall and inserted a mesh. Because there was no musculofascial defect, it was difficult to discern the accurate repair area. We used laparoscopy to determine the repair area, which was recognized thanks to illumination transmitted through the abdominal wall. We were able to determine the appropriate size and placement of the mesh, which enabled us to repair the abdominal pseudohernia.

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Section: Discussionmentioning

confidence: 63%

Laparoscopic decision‐making concerning the repair area for traumatic abdominal wall pseudohernia: A case report

Kaiwa

Maida

Sekiguchi

2019

Asian J Endoscop Surgery

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“…It has been reported after abdominal and pelvic surgery. 5,8,11,19,28 Nerve root compression from a herniated disc has also been reported in the literature. 1,18,22 Diabetic neuropathy has also been implicated as an etiological factor of abdominal wall paresis.…”

Section: Discussionmentioning

confidence: 90%

Abdominal wall paresis as a complication of minimally invasive lateral transpsoas interbody fusion

Dakwar

Baaj

et al. 2011

FOC

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Object The minimally invasive lateral transpsoas approach for interbody fusion has been increasingly employed to treat various spinal pathological entities. Gaining access to the retroperitoneal space and traversing the abdominal wall poses a risk of injury to the major nervous structures. Nerve injury of the abdominal wall can potentially lead to paresis of the abdominal musculature and bulging of the abdominal wall. Abdominal wall nerve injury resulting from the minimally invasive lateral retroperitoneal transpsoas approach has not been previously reported. The authors describe a case series of patients presenting with paresis and bulging of the abdominal wall after undergoing a minimally invasive lateral retroperitoneal approach. Methods The authors retrospectively reviewed all patients who underwent a minimally invasive lateral transpsoas approach for interbody fusion and in whom development of abdominal paresis developed; the patients were treated at 4 institutions between 2006 and 2010. All data were recorded including demographics, diagnosis, operative procedure, positioning, hospital course, follow-up, and complications. The onset, as well as resolution of the abdominal paresis, was reviewed. Results The authors identified 10 consecutive patients in whom abdominal paresis developed after minimally invasive lateral transpsoas spine surgery out of a total of 568 patients. Twenty-nine interbody levels were fused (range 1–4 levels/patient). There were 4 men and 6 women whose mean age was 54.1 years (range 37–66 years). All patients presented with abdominal paresis 2–6 weeks postoperatively. In 8 of the 10 patients, abdominal wall paresis had resolved by the 6-month follow-up visit. Two patients only had 1 and 4 months of follow-up. No long-term sequelae were identified. Conclusions Abdominal wall paresis is a rare but known potential complication of abdominal surgery. The authors report the first case series associated with the minimally invasive lateral transpsoas approach.

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“…Similarly, a 1994 study of patients following abdominal aortic aneurysm repair with retroperitoneal incisions found that when the incision extended into the 11 th intercostal space, 6/31 patients developed pseudohernias postoperatively [ 5 ]. Other reports have described pseudohernia following T9-T10 meningioma excision and following thoracoscopy [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…A pseudohernia is an abdominal wall bulge that resembles a hernia but differs from a true hernia in that there is no actual muscular disruption and all muscle and fascial layers remain intact. Pseudohernias are rare phenomena, which have been reported in association with a variety of syndromes involving neuropathy or denervation, including zoster infection [ 1 ], diabetes mellitus [ 2 , 3 ], and following operative trauma [ 3 – 6 ]. The case presented describes a pseudohernia caused by rib fractures.…”

Section: Introductionmentioning

confidence: 99%

Flank pseudohernia following posterior rib fracture: a case report

2016

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BackgroundA pseudohernia is an abdominal wall bulge that may be mistaken for a hernia but that lacks the disruption of the abdominal wall that characterizes a hernia. Thus, the natural history and treatment of this condition differ from those of a hernia. This is the first report of a pseudohernia due to cough-associated rib fracture.Case presentationA case of pseudohernia due to fractures of the 10th and 11th ribs in a 68-year-old white woman is presented. The patient suffered from a major coughing episode 1 year prior to her presentation, after which she noted a progressively enlarging bulge in her left flank. Computed tomography demonstrated a bulge in the abdominal wall containing bowel and spleen but with all muscle and fascial layers intact; in addition, lateral 10th rib and posterior 11th rib fractures were noted.ConclusionsAs there was no defect in muscle or fascia, we diagnosed a pseudohernia, likely due to a denervation injury from the fractured ribs. Symptomatic treatment was recommended, including wearing a corset and referral to a pain management clinic. Symptomatic treatment is thought to be the mainstay of therapy for pseudohernias, as surgical intervention is unlikely to be of benefit.

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Abdominal wall pseudohernia following video-assisted thoracoscopy and pleural biopsy

Cited by 13 publications

References 8 publications

Laparoscopic decision‐making concerning the repair area for traumatic abdominal wall pseudohernia: A case report

Laparoscopic decision‐making concerning the repair area for traumatic abdominal wall pseudohernia: A case report

Abdominal wall paresis as a complication of minimally invasive lateral transpsoas interbody fusion

Flank pseudohernia following posterior rib fracture: a case report

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