Gastric outlet obstruction due to an irreducible incisional hernia

Case contributed by Chris O'Donnell
Diagnosis probable

Presentation

Vomiting for days with upper abdominal pain and an irreducible abdominal wall hernia

Patient Data

Age: 85 years
Gender: Female

Marked fluid-filled distension of the stomach passing into a relatively narrow-necked abdominal wall hernia. Note pylorus (arrow) is extrinsically compressed at the hernial neck by the contents including the distended stomach.

Case Discussion

Gastric outlet obstruction is usually due to gastric/pancreatic neoplasm or chronic duodenal ulceration. It is rarely due to hernial obstruction.

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