Herpes Zoster associated Abdominal Pseudohernia

An 80-year-old man with past medical history of Type 2 diabetes mellitus, hypertension, hyperlipidemia and ischemic heart disease, presented with left sided abdominal pain for 1 day. His pain severity was 8/10 on Visual Analogue Scale. He described the pain as gripping and constant in nature, with radiation, worse on palpation and relieved mildly with paracetamol. Initial physical examination revealed a left flank bulge (Figure, Left), more prominent when standing, with pain on palpation.