Spontaneous Resolution of Abdominal Pseudohernia After Herpes Zoster

Herpes zoster, also known as shingles, develops from reactivation of the varicella zoster virus.1 In immunocompetent individuals, shingles classically presents as pruritic vesicles in a dermatomal distribution with associated constitutional symptoms. The rash typically resolves in 7-10 days.1 The most common complication of herpes zoster is herpetic neuralgia. Motor deficits occur in 1%-5% of patients, with the most common manifestation being Ramsay Hunt Syndrome.2 Other complications include abdominal pseudohernia, localized paresis, constipation, visceral neuropathy, paralytic ileus/colonic pseudo-obstruction, hemidiaphragm paralysis, and bladder dysfunction.