Naveed Abbas,Shahid  Kaimkhani,
Gastric Outlet Obstruction: An Unusual Hernia
American Journal of Surgical Case Reports
2020
2674-5046
http://dx.doi.org/10.31487/j.AJSCR.2020.02.09
https://www.sciencerepository.org/gastric-outlet-obstruction-an-unusual-hernia_AJSCR-2020-2-109 
Abstract: An 85-year-old male presented to the emergency with recurrent acute vomiting, abdominal distension and
long standing constipation. Background history was significant for a large, incarcerated inguinoscrotal
hernia and congestive cardiac failure. Computed tomography scan showed non-dilated large bowel loops
along with part of the gastric antrum and omentum in the hernial sac. He was managed conservatively with
bowel rest as he refused decompression. He settled well on conservative management and was started on
light diet after 48 hours with progressive upgrading of food to which he showed good tolerance. He also
resumed normal bowel movements during the same time. During his admission he was managed by
Cardiology for congestive cardiac failure. He was discharged home with instructions and education about
findings to both patient and carers and for follow up to discuss possible endoscopy.
Keywords: Hernia, obstruction, gastric