Presentation
Nausea, vomiting, abdominal pain.
Patient Data
Age: 70 years
Gender: Female
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Reflux of contrast into the esophagus. Gastric fundus and body filled with oral contrast. Atrum enters a ventral hernia and does not contain contrast, and instead has a fluid/air level with surrounding fat stranding and dilated vessels. No distal oral contrast.
Case Discussion
Part of the gastric antrum has become incarcerated in a ventral hernia, resulting in gastric outlet obstruction as no contrast passes into this segment or distally despite imaging after a delay.