Wen-hao Tang
Zhongda Hospital,
Nanjing, 210009
Bolivarian Rep. of Venezuela
Case Report
Computerized Tomography Scan with a Valsalva Maneuver for the Diagnosis of Denervative Abdominal Wall Hernia
Author(s): Xin Fan and Wen-hao TangXin Fan and Wen-hao Tang
Background: Flank or abdominal hernia after open renal surgery is rare. The mechanisms of this pathology involve wound dehiscence and/or the sub-costal nerve severing, and the latter still has room for emphases, especially for diagnosis establishment.
Case Report: A 64-year-old woman presented with a ten years history of left abdominal pain and bulge after a left nephrectomy in 1998 because of her left renal stone disease. Following the procedure, she experienced a further left abdominal pain and developed a progressively enlarging left flank bulge. CT scan excluded the presence of an organic cause, such as intra-abdominal pathology, but showed a thinner layer of musculature on the left side without a definitive hernia orifice, which was distended during a Valsalva maneuver. A left flan.. View More»