Unilateral abdominal muscle herniation with pain: a distinctive variant of diabetic radiculopathy

Diabet Med. 1997 Sep;14(9):803-7. doi: 10.1002/(SICI)1096-9136(199709)14:9<803::AID-DIA465>3.0.CO;2-E.


Thoracic diabetic radiculopathy causing truncal pain and abdominal muscle bulging is a recognized though extremely rare complication of diabetes. We report here six cases, describing their clinical features and natural history in detail: the condition affects predominantly middle-aged men, usually on the right side of the abdominal wall, involving three to five adjacent nerve roots between T6 and T12. It may be accompanied by profound weight loss which is not normally due to poorly controlled diabetes. Complete resolution of this syndrome occurs after 3 to 12 months.

Publication types

  • Case Reports
  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Abdominal Muscles / physiopathology*
  • Abdominal Pain / etiology*
  • Aged
  • Diabetes Mellitus, Type 2 / complications*
  • Diabetes Mellitus, Type 2 / therapy
  • Diabetic Neuropathies / physiopathology*
  • Hernia, Ventral / diagnosis*
  • Hernia, Ventral / etiology
  • Hernia, Ventral / therapy
  • Humans
  • Male
  • Middle Aged
  • Peripheral Nervous System Diseases / etiology
  • Peripheral Nervous System Diseases / physiopathology
  • Syndrome
  • Thoracic Nerves*