Yeungnam Univ J Med.  2020 Apr;37(2):133-135. 10.12701/yujm.2019.00381.

Rectus abdominis muscle atrophy after thoracotomy

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Yeungnam University Hospital, Yeungnam University College of Medicine, Daegu, Korea

Abstract

Intercostal nerve injury is known to occur during thoracotomy; however, rectus abdominis muscle atrophy has rarely been reported. We describe a 52-year-old man who underwent primary closure of esophageal perforation and lung decortication via left thoracotomy. He was discharged 40 days postoperatively without any complications. He noticed an abdominal bulge 2 months later, and computed tomography revealed left rectus abdominis muscle atrophy. We report thoracotomy induced denervation causing rectus abdominis muscle atrophy.

Keyword

Intercostal nerves; Muscle denervation; Muscular atrophy; Rectus abdominis; Thoracotomy

Figure

  • Fig. 1. Photograph of the left rectus abdominis muscle atrophy. The left lateral abdominal wall bulging is present (arrow).

  • Fig. 2. (A) Preoperative abdominal computed tomography (CT) scan shows normal symmetric rectus abdominis. (B) Follow-up CT scan reveals a flattening of the left side rectus abdominis (arrow).


Reference

References

1. Vigneswaran Y, Poli E, Talamonti MS, Haggerty SP, Linn JG, Ujiki MB. Rectus abdominis atrophy after ventral abdominal incisions: midline versus chevron. Hernia. 2017; 21:619–22.
Article
2. Matsumoto K, Noda T, Eguchi H, Iwagami Y, Akita H, Asaoka T, et al. Atrophy of the rectus abdominis after left-side donor hepatectomy: comparison of upper abdominal midline vs mercedes incision. Transplant Proc. 2019; 51:1496–501.
Article
3. Benedetti F, Vighetti S, Ricco C, Amanzio M, Bergamasco L, Casadio C, et al. Neurophysiologic assessment of nerve impairment in posterolateral and muscle-sparing thoracotomy. J Thorac Cardiovasc Surg. 1998; 115:841–7.
Article
4. Antonescu I, Baird R. Paralysis of the rectus abdominis muscle after video-assisted thoracoscopic surgery for recurrent spontaneous pneumothorax. J Pediatr Surg. 2011; 46:2397–400.
Article
5. Beazley RM, Bagley DH, Ketcham AS. The effect of cryosurgery on peripheral nerves. J Surg Res. 1974; 16:231–4.
Article
6. Rogers ML, Henderson L, Mahajan RP, Duffy JP. Preliminary findings in the neurophysiological assessment of intercostal nerve injury during thoracotomy. Eur J Cardiothorac Surg. 2002; 21:298–301.
Article
7. Yamada M, Maruta K, Shiojiri Y, Takeuchi S, Matsuo Y, Takaba T. Atrophy of the abdominal wall muscles after extraperitoneal approach to the aorta. J Vasc Surg. 2003; 38:346–53.
Article
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