Unilateral Abdominal Distention Following Herpes Zoster Outbreak

Abdominal wall protrusion following herpes zoster

“…The incidence of clinically detectable paresis is 0.3% when the shingles appear between the T2 and L1 segments 3 , and there seems to be an inverse relationship between the frequency of skin lesion findings and subsequent paresis. Approximately half of the cases involve thoracic dermatomes during skin eruptions 7 , followed in decreasing order by the facial, cervical and lumbosacral segments. Nevertheless, the face and limbs show the highest frequencies of motor complications 9 .…”

Postherpetic paresis mimicking an abdominal herniation

“…Visceral motor complications are reported, particularly neurogenic bladder dysfunction and colonic pseudo-obstruction (4). The postherpetic paresis of abdominal wall muscles has a prevalence estimated to be around 0.17% of cases ( 5) and it presents as an abdominal or flank bulge (6)(7)(8)(9)(10). As regards our patient, the differential diagnoses were a surgical nerve injury or a neural involvement by a recurrence of previous colon disease.…”

Segmental Zoster Abdominal Paresis (Zoster Pseudohernia): A Review of the Literature

“…In 1885, Taylor [15] reported the first known case of a patient with a segmental zoster abdominal paresis. Since that time, other similar cases have been described [10‐13,15‐45]. The aim of this article was to review the existing literature with regard to this specific complication and to summarize the findings from the published evidence.…”