Gastric outlet obstruction due to an irreducible incisional hernia

Case contributed by Dr Chris O'Donnell


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

Patient Data

Age: 85
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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Case information

rID: 39356
Published: 1st Sep 2015
Last edited: 2nd Sep 2015
Inclusion in quiz mode: Included

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