Asian Journal of Case Reports in Surgery

Incarcerated Epigastric Hernia Causing Gastric Outlet Obstruction: A Case Report

Prasad Upganlawar

Department of Surgery, Government Medical College and Hospital, Nagpur, India.

Maheshkumar Soni

Department of Surgery, Government Medical College and Hospital, Nagpur, India.

Ritesh M. Bodade

Department of Surgery, Government Medical College and Hospital, Gondia, India.

Sharvil Thatte *

Department of Surgery, Government Medical College and Hospital, Nagpur, India.

*Author to whom correspondence should be addressed.

---

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.

Keywords: Stomach, epigastric hernia, gastric outlet obstruction, hernia, ventral

---

---