Abdominal wall pseudohernia - One secondary to a thoracic extraforaminal disc herniation and other due to thoracic paracentral disc protrusion

Fitzpatrick, John D.; Birch, Nick C.; Botchu, Rajesh

doi:10.1016/j.jcot.2022.101897

Cited by 3 publications

(8 citation statements)

References 14 publications

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“…1 . Seven studies met criteria for inclusion in this review [ 3 , 11 - 16 ]. None were randomized controlled trials (RCTs) and five were case studies [ 11 , 12 , 14 - 16 ].…”

Section: Resultsmentioning

confidence: 99%

“…Seven studies met criteria for inclusion in this review [ 3 , 11 - 16 ]. None were randomized controlled trials (RCTs) and five were case studies [ 11 , 12 , 14 - 16 ]. The remaining two were a prospective cohort study and a retrospective cohort study [ 3 , 13 ].…”

Section: Resultsmentioning

confidence: 99%

“…The overall study quality assessment demonstrated three studies had “good” quality [ 12 , 14 , 16 ], one had “fair” quality [ 11 ], and three had “poor” quality of evidence [ 3 , 13 , 15 ] using the NHLBI Study Quality Assessment Tool for Observational Studies ( Figs. 2 - 4 ) [ 8 , 9 , 17 ].…”

Section: Resultsmentioning

confidence: 99%

“…Fitzpatrick et al [ 11 ] presented a case study of two male patients, ages 57 (patient 1) and 67 (patient 2), who developed thoracolumbar pain, muscle spasms, local abdominal swelling, and thoracic allodynia. Both had TR identified by thoracic spine MRI.…”

Section: Resultsmentioning

confidence: 99%

“…To differentiate the pathologies, a careful history and physical examination may reveal paraspinal tenderness, dermatomal pain and sensory abnormalities, absent or asymmetric superficial abdominal reflexes, or bulging in the musculature of the affected side, also known as a pseudohernia. These findings can prompt consideration for obtaining MRI; however, specific clinical criteria for diagnosis have not been established [ 11 ]. MRI is valuable for assessing the etiology of anatomic compression of thoracic nerve roots or the presence of nerve root T2 hyperintensity in neural damage [ 1 , 2 ].…”

Section: Discussionmentioning

confidence: 99%

See 4 more Smart Citations

The Efficacy of Physical Therapy to Alleviate Symptomatic Thoracic Radiculopathy: A Systematic Review and Meta-Narrative Analysis

Mostert,

Perera,

Higano

et al. 2024

Ann Rehabil Med

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To evaluate the efficacy of physical therapy (PT) to alleviate symptomatic thoracic radiculopathy (TR) without the use of invasive procedures. Database search was conducted by an experienced medical librarian from inception until January 27, 2023, in EBSCO CINAHL with Full Text, Ovid Cochrane Central Register of Controlled Trials, Ovid Embase, Ovid MEDLINE, Scopus, and Web of Science Core Collection. Inclusion criteria included studies that involved adult patients (age≥18) who had a magnetic resonance imaging-confirmed TR and underwent a structured, supervised PT program of any length. All types of studies were included. Study quality and risk of bias were assessed using the National Heart, Lung, and Blood Institute (NHLBI) Study Quality of Assessment Tool. Certainty in evidence was assessed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach. A meta-analysis was not performed. A total of 1,491 studies were screened and 7 studies met inclusion criteria, 5 case studies and 2 cohort studies. All studies showed improvement or resolution of the TR with PT. Quantitative improvements were not noted in most studies and PT regimens were sparsely described. Overall quality assessment demonstrated 3 studies had “good,” 1 “fair,” and 3 “poor” quality evidence. Certainty of evidence was “low” due to risk of bias. A dedicated PT program may help to alleviate symptomatic TR; however due to limited evidence, risk of bias, and low certainty in evidence, the data is too weak to support a definite conclusion.

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“…1 . Seven studies met criteria for inclusion in this review [ 3 , 11 - 16 ]. None were randomized controlled trials (RCTs) and five were case studies [ 11 , 12 , 14 - 16 ].…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

The Efficacy of Physical Therapy to Alleviate Symptomatic Thoracic Radiculopathy: A Systematic Review and Meta-Narrative Analysis

Mostert,

Perera,

Higano

et al. 2024

Ann Rehabil Med

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Dénervation pariétale

Donadieu,

Renard

2023

Chirurgie Pariétale

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Monoradiculopathy-induced abdominal pseudohernia caused by T11-12 soft disc herniation: a case report and literature review

Cho

Kim

et al. 2023

BMC Musculoskelet Disord

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Background An abdominal pseudohernia is a rare clinical entity that consists of an abnormal bulging of the abdominal wall that can resemble a true hernia but does not have an associated underlying fascial or muscle defect. Abdominal pseudohernia is believed to result from denervation of the abdominal muscles in cases of herpes zoster infection, diabetes mellitus, lower thoracic or upper lumbar disc herniation, surgical injuries, and rib fracture. To date, nine cases of abdominal pseudohernia caused by disc herniation at the lower thoracic or upper lumbar levels have been reported. Case presentation A 35-year-old man with no underlying disease or traumatic event presented with chief complaints of left flank pain and a protruding left lower abdominal mass that had formed one day earlier. There was no true abdominal hernia on abdominal computed tomography (CT), although CT and magnetic resonance imaging (MRI) showed a herniated soft (non-calcified) disc into the left neural foramen at the T11-12 level. A nonsteroidal anti-inflammatory drug was prescribed for the flank pain, and the patient was followed on a regular basis for six months. Follow-up MRI taken at the last visit showed complete resorption of the herniated disc. Abdominal pseudohernia and flank pain were also completely resolved. Conclusion We report a rare case of monoradiculopathy-induced abdominal pseudohernia caused by foraminal soft disc herniation at the T11-12 level. In patients who have an abdominal pseudohernia without herpes zoster infection, diabetes mellitus, or traumatic events, lower thoracic disc herniations should be included in differential diagnosis.

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Abdominal wall pseudohernia - One secondary to a thoracic extraforaminal disc herniation and other due to thoracic paracentral disc protrusion

Cited by 3 publications

References 14 publications

The Efficacy of Physical Therapy to Alleviate Symptomatic Thoracic Radiculopathy: A Systematic Review and Meta-Narrative Analysis

The Efficacy of Physical Therapy to Alleviate Symptomatic Thoracic Radiculopathy: A Systematic Review and Meta-Narrative Analysis

Dénervation pariétale

Monoradiculopathy-induced abdominal pseudohernia caused by T11-12 soft disc herniation: a case report and literature review

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