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Journal of Medical Case Reports

, 10:273

First Online: 01 October 2016Received: 11 March 2016Accepted: 05 September 2016DOI: 10.1186-s13256-016-1054-9

Cite this article as: Butensky, A.M., Gruss, L.P. & Gleit, Z.L. J Med Case Reports 2016 10: 273. doi:10.1186-s13256-016-1054-9

Abstract

BackgroundA 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 presentationA case of pseudohernia due to fractures of the 10 and 11 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 rib and posterior 11 rib fractures were noted.

ConclusionsAs 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.

KeywordsPseudohernia Rib fracture Hernia Case report AbbreviationsCOPDchronic obstructive pulmonary disease

CTcomputed tomography

EMGelectromyography

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Autor: Adam M. Butensky - Leah P. Gruss - Zachary L. Gleit

Fuente: https://link.springer.com/







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