Abdominal pseudohernia caused by thoracic disk herniation: case series and review of the literature.

IF 0.4 Q4 SURGERY
Journal of Surgical Case Reports Pub Date : 2025-01-23 eCollection Date: 2025-01-01 DOI:10.1093/jscr/rjae822
G Massé, M Al Khaldi, F Schwenter, M Boudier-Revéret, H Sebajang
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引用次数: 0

Abstract

Intervertebral thoracic disk herniation (TDH) is a rare occurrence and presents with a wide variety of symptoms. Errors in diagnosis are thought to be frequent due to the variable clinical presentations. We herein present two unusual cases of TDH presenting with abdominal pseudohernias, abdominal pain, and hypoesthesia along the T11-T12 dermatomes due to TDH at the same level. Both patients were managed conservatively, using a combination of analgesics and muscle relaxants. At 10 months of follow-up, the first patient reported complete resolution of abdominal bulge and no residual pain. The second patient reported residual paresthesia of T11-T12 dermatome, with non-limiting back pain and almost complete resolution of abdominal bulge. In conclusion, TDH may present with an abdominal wall bulge mimicking hernia, hypoesthesia, and radicular pain along the affected dermatome. Conservative management can be considered as first-line treatment.

胸椎间盘突出引起的腹部假疝:病例系列和文献回顾。
胸椎间盘突出症(TDH)是一种罕见的疾病,表现出多种症状。由于不同的临床表现,诊断错误被认为是频繁的。我们在此报告两例不寻常的TDH病例,由于同一水平的TDH,其表现为腹部假性疝、腹痛和沿T11-T12皮节的感觉减退。两例患者均采用保守治疗,联合使用镇痛药和肌肉松弛剂。在10个月的随访中,第一位患者报告腹部隆起完全消退,无残余疼痛。第二例患者报告T11-T12皮肤区残余感觉异常,伴有非限制性背部疼痛,腹部隆起几乎完全消退。总之,TDH可能表现为腹壁隆起,类似疝气,感觉减退,以及沿受影响皮肤节的神经根性疼痛。保守治疗可作为一线治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
0.70
自引率
0.00%
发文量
559
审稿时长
11 weeks
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