Herpes Zoster-Associated Abdominal Pseudohernia

An 80-year-old man with a history of type 2 diabetes mellitus, hypertension, hyperlipidemia, and ischemic heart disease, presented with left-sided abdominal pain for 1 day. His pain severity was 8/10 on a visual analogue scale. He described the pain as gripping and constant in nature, with radiation, worse on palpation and relieved mildly with paracetamol (acetaminophen). Initial physical examination revealed a left flank bulge (Figure, left), more prominent when standing, with pain on palpation.
Source: The American Journal of Medicine - Category: General Medicine Authors: Tags: Clinical Communication to the Editor Source Type: research