Rare cause of gastric outlet obstruction: Incarcerated pylorus within an inguinal hernia

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Abstract

We present the case of a 79-year-old man admitted to the emergency room. Having anorexia and vomiting as main complaints, combined with abdominal distension and discomfort, diagnostic examination revealed a giant left inguinal hernia containing the antrum and pylorus of a dilated stomach, creating an outlet obstruction. This was complicated with free peritoneal air, gastric emphysema and air in the portal system due to ischaemia.

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Kerschaever, I., Poelmans, S., Vankeirsbilck, J., & Vandewoude, M. (2012). Rare cause of gastric outlet obstruction: Incarcerated pylorus within an inguinal hernia. Annals of the Royal College of Surgeons of England, 94(2). https://doi.org/10.1308/003588412X13171221500907

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