Incarcerated Epigastric Hernia Causing Gastric Outlet Obstruction: A Case Report
Prasad Upganlawar, Maheshkumar Soni, Ritesh M. Bodade, Sharvil Thatte
Asian Journal of Case Reports in Surgery · pp. 399–403 · Published 8 Jun 2021
Abstract
Introduction: Elective repair of epigastric hernia is a frequent minor surgical procedure. In most cases the hernial content is pre-peritoneal fat. Presentation of case: We report a case of a patient with epigastric hernia containing part of stomach and duodenum presenting as gastric outlet obstruction. Discussion: Epigastric hernias are often asymptomatic and rarely contain viscera, but when symptomatic and recurrent, high index of suspicion is required to rule out visceral involvement. Conclusion: The presence of distal part of stomach and duodenum within an epigastric hernia is a very rare finding and surgeons should look out for atypical presentations in acute or chronic presentations of this seemingly ‘simple’ hernia.
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