Presentation
Vomiting for days with upper abdominal pain and an irreducible abdominal wall hernia
Patient Data
Age: 85 years
Gender: Female
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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.