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Flank pseudohernia following posterior rib fracture: a case report
BACKGROUND: A 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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5045639/ https://www.ncbi.nlm.nih.gov/pubmed/27716425 http://dx.doi.org/10.1186/s13256-016-1054-9 |
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author | Butensky, Adam M. Gruss, Leah P. Gleit, Zachary L. |
author_facet | Butensky, Adam M. Gruss, Leah P. Gleit, Zachary L. |
author_sort | Butensky, Adam M. |
collection | PubMed |
description | BACKGROUND: A 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 PRESENTATION: A case of pseudohernia due to fractures of the 10(th) and 11(th) 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 10(th) rib and posterior 11(th) rib fractures were noted. CONCLUSIONS: As 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. |
format | Online Article Text |
id | pubmed-5045639 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-50456392016-10-12 Flank pseudohernia following posterior rib fracture: a case report Butensky, Adam M. Gruss, Leah P. Gleit, Zachary L. J Med Case Rep Case Report BACKGROUND: A 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 PRESENTATION: A case of pseudohernia due to fractures of the 10(th) and 11(th) 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 10(th) rib and posterior 11(th) rib fractures were noted. CONCLUSIONS: As 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. BioMed Central 2016-10-01 /pmc/articles/PMC5045639/ /pubmed/27716425 http://dx.doi.org/10.1186/s13256-016-1054-9 Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Case Report Butensky, Adam M. Gruss, Leah P. Gleit, Zachary L. Flank pseudohernia following posterior rib fracture: a case report |
title | Flank pseudohernia following posterior rib fracture: a case report |
title_full | Flank pseudohernia following posterior rib fracture: a case report |
title_fullStr | Flank pseudohernia following posterior rib fracture: a case report |
title_full_unstemmed | Flank pseudohernia following posterior rib fracture: a case report |
title_short | Flank pseudohernia following posterior rib fracture: a case report |
title_sort | flank pseudohernia following posterior rib fracture: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5045639/ https://www.ncbi.nlm.nih.gov/pubmed/27716425 http://dx.doi.org/10.1186/s13256-016-1054-9 |
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