Non-traumatic hernia of the lateral abdominal wall in a patient infected with the human immunodeficiency virus

Ann R Coll Surg Engl. 2016 Jul;98(6):e97-9. doi: 10.1308/rcsann.2016.0149. Epub 2016 May 31.

Abstract

Introduction There are several classifications for abdominal hernias, and a non-traumatic lateral wall hernia (LAWH) is a rare type. We report the first case of a patient with LAWH infected with the human immunodeficiency virus (HIV). Case History A 53-year-old HIV-infected male presented with an abdominal mass. The patient had a history of treatment with combination antiretroviral therapy. A LAWH was diagnosed based on physical examination and findings of computed tomography. Open mesh repair was undertaken successfully. The patient had no evidence of a recurrent hernia during 11 months of follow-up. Conclusions High intra-abdominal pressure and weak connective tissue can lead to LAWHs. Antiretroviral therapy and lipodystrophy can cause LAWHs in HIV-infected patients.

Keywords: Combination antiretroviral therapy; Human immunodeficiency virus; Non-traumatic lateral wall hernia.

Publication types

  • Case Reports

MeSH terms

  • Anti-Retroviral Agents / therapeutic use
  • HIV Infections / complications*
  • HIV Infections / drug therapy
  • Hernia, Ventral / complications
  • Hernia, Ventral / diagnosis*
  • Hernia, Ventral / surgery
  • Humans
  • Male
  • Middle Aged

Substances

  • Anti-Retroviral Agents