case_images: PMC11756312_01
case_images: First patient's initial presentation and clinical evolution. (A) An axial view of a CT scan of the abdomen and pelvis revealing a left-sided flank bulge consistent with the patient's complaint without evidence of hernia. (B, C, D) Left flank bulge at, respectively, 1, 3, and 10 months follow-up, showing a progressive reduction in size (lines). The pictures were given with the patient's consent.
case_images: rjae822f1.jpg
case_images: PMC11756312_01_rjae822f1.jpg
case_images: f1
case_images: T11-T12 levels causing stenosis of the left foramen, consistent with the patient's symptoms (Fig. 1). The patient was treated conservatively with gabapentin and presented significant improvement of symptoms 3 months following the initiation of treatment, with complete resolution of both symptoms and abdominal bulge at 10-month follow-up.
case_images: PMC11756312_02
case_images: Second patient's initial scan and clinical evolution. (A) An axial view of a CT scan of the abdomen and pelvis revealing a left-sided flank bulge consistent with the patient's complaint without evidence of hernia. (B, C, D) Left flank bulge at, respectively, 1, 3, and 10 months follow-up, showing progressive reduction in size (lines). The pictures were given with the patient's consent.
case_images: rjae822f2.jpg
case_images: PMC11756312_02_rjae822f2.jpg
case_images: f2
case_images: A 57-year-old male with a medical history of recurrent renal colic and cervical disk hernia presented to the ED with a left flank bulge and associated pain (Fig. 2). A left-sided deviation of the abdomen was noted (Fig. 2). The patient was managed conservatively by the same physiatrist. The patient's symptoms showed significant improvement at the 3-month follow-up visit, but persistent paresthesia on T11-12 dermatome and residual non limiting back pain were reported at the 10-month follow-up (Fig. 2).