scholarly journals Rare cause of gastric outlet obstruction: incarcerated pylorus within an inguinal hernia

2012 ◽  
Vol 94 (2) ◽  
pp. e46-e48 ◽  
Author(s):  
I Kerschaever ◽  
S Poelmans ◽  
J Vankeirsbilck ◽  
M Vandewoude
Keyword(s):  
Inguinal Hernia ◽  
Emergency Room ◽  
Gastric Outlet Obstruction ◽  
Outlet Obstruction ◽  
Abdominal Distension ◽  
Portal System ◽  
Gastric Emphysema

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.

scholarly journals Gastric outlet obstruction secondary to incarcerated pylorus in an inguinal hernia

2014 ◽  
Vol 96 (5) ◽  
pp. e26-e27 ◽  
Author(s):  
L Creedon ◽  
O Peacock ◽  
R Singh ◽  
A Awan
Keyword(s):  
Inguinal Hernia ◽  
Small Bowel ◽  
Gastric Outlet Obstruction ◽  
Outlet Obstruction ◽  
Incarcerated Inguinal Hernia ◽  
Common Presentation ◽  
Inguinal Hernias ◽  
Wide Range ◽  
The World ◽  
Surgical Admission

Inguinal hernias are a common presentation to surgical admission units throughout the world. The majority of presentations are due to hernias containing either fat or small bowel. However, a wide range of intra-abdominal viscera have been demonstrated in inguinal hernias. We report a case of an 87-year-old man who presented with gastric outlet obstruction secondary to an incarcerated inguinal hernia containing the gastric pylorus.

scholarly journals Recurrent gastric outlet obstruction due to an inguinal hernia.

1987 ◽  
Vol 63 (744) ◽  
pp. 905-906 ◽  
Author(s):  
V. Naraynsingh ◽  
K. Sieunarine ◽  
G. C. Raju
Keyword(s):  
Inguinal Hernia ◽  
Gastric Outlet Obstruction ◽  
Outlet Obstruction

scholarly journals Prenatal Diagnosis of Prepyloric Diaphragm: A Case Report

2020 ◽  
Vol 18 (2) ◽  
pp. 67-69
Author(s):  
Md Qumrul Ahsan ◽  
Arni Das ◽  
Tahmina Banu
Keyword(s):  
Gastric Outlet Obstruction ◽  
Outlet Obstruction ◽  
Abdominal Distension ◽  
Exploratory Laparotomy ◽  
Unknown Etiology ◽  
Rare Type ◽  
Bilious Vomiting ◽  
Mucus Membrane ◽  
Antral Web ◽  
Milk Feeding

The prepyloric diaphragm (A type of pyloric atresia) is a rare type of congenital malformation of gastrointestinal tract of unknown etiology. A thin two layered mucus membrane of about 2 to 4 mm, proximal to pylorus causes the gastric outlet obstruction in neonate. We are reporting a case of prepyloric diaphragm which had been diagnosed at 37 weeks of gestation by Ultrasonography and diagnosis was confirmed after birth during surgery. Prenatal ultrasonography of a 37 weeks pregnant mother revealed polyhydramnios, persistently dilated, a fluid filled blind sac at epigastrium and right hypochondrium with peristaltic wave and to & fro movements of fluid contents. There was no double bubble sign. The baby boy was born by Caesarean Section. After breast feeding, baby had non-bilious vomiting with mild abdominal distension. Postnatal ultrasonography showed dilated fluid filled stomach. Exploratory laparotomy on 14thday of life revealed a prepyloric diaphragm with a central hole, 1 cm proximal to the pylorus. The 2 mm thick diaphragm was excised circumferentially. Postoperative period was uneventful. Milk feeding started at 6th post-operative day and discharged with advice at 7th post-operative day. Prepyloric diaphragm or antral web is to be considered as provisional diagnosis if there is prenatal suspicion of gastric outlet obstruction, polyhydramnios of mother and persistent non-bilious vomiting in neonate; as simple excision of the diaphragm is curative for this unusual abnormality if there is no other associated abnormality. Chatt Maa Shi Hosp Med Coll J; Vol.18 (2); July 2019; Page 67-69

Hepatic portal vein gas in gastric outlet obstruction

2021 ◽  
Vol 1 (4) ◽  
Author(s):  
Kan Radeesri ◽  
◽  
Suphakarn Techapongsatorn ◽  
Keyword(s):  
Gastric Outlet Obstruction ◽  
Outlet Obstruction ◽  
Abdominal Distension ◽  
Abdominal Radiograph ◽  
Upper Gastrointestinal Endoscopy ◽  
Peptic Ulcer Perforation ◽  
Peptic Ulcers ◽  
History Of ◽  
Hepatic Portal ◽  
Upper Abdomen

A 55-year-old man presented to an emergency department with a history of abdominal pain and vomiting for one week. He had a history of having peptic ulcer perforation surgery. He appeared weak and frustration from pain, abdominal distension at upper abdomen without peritonitis sign on physical examination. Initial abdominal radiograph revealed pneumoperitoneum under both hemidiaphragms with markedly distension of stomach containing food content. Further computed tomography demonstrated evidence of gastric outlet obstruction without intra or extraluminal mass. There is also massive amount of portal venous gas in both lobes of liver. After patient resuscitation with intravenous fluid and nasogastric intubation for gastric decompression, his condition returned to normal, with no sign of peritonitis nor sepsis. Therefore, the upper gastrointestinal endoscopy showed gastric outlet obstruction from chronic peptic ulcers. The endoscopic balloon dilatation of the obstruction part was successful, and he was discharged home with full recovery in one week.

Temporal Trends of Peptic Ulcer Disease in Kashmir, India

JMS SKIMS ◽  
2012 ◽  
Vol 15 (2) ◽  
pp. 136-140
Author(s):  
G M Gulzar ◽  
Showkat A Zargar ◽  
Muzaffar Nazir ◽  
Gul Javid ◽  
Bashir A Khan ◽  
...  
Keyword(s):  
Peptic Ulcer ◽  
Peptic Ulcer Disease ◽  
Gastric Outlet Obstruction ◽  
Temporal Trends ◽  
Outlet Obstruction ◽  
Life Time ◽  
Point Prevalence ◽  
Asymptomatic Group ◽  
Ulcer Disease ◽  
Ulcer Perforation

BACKGROUND: Since late 1960s, the prevalence of peptic ulcer disease and its complications has been steadily decreasing. OBJECTIVE: To ascertain the changing trends in the prevalence and complications of peptic ulcer in Kashmir. METHODS: A cohort of 10474 people aged 15-60 years in district Baramulla of Kashmir was interviewed about symptoms, complications, and surgery related to peptic ulcer. People were enquired about smoking, use of NSAIDs, H2 Receptor antagonists, proton pump inhibitors and endoscopies. All symptomatic and randomly selected group of asymptomatic people underwent esophago-gastro-cluodenoscopy. RESULTS: In symptomatic group, 286 (41.45%) people hod peptic ulcer and in asymptomatic group 24 (5.35%) had peptic ulcer. There were 71 already diagnosed cases of peptic ulcer; totaling 381. Thirty three people had surgery for peptic ulcer. The point prevalence of peptic ulcer was 3.54% and lifetime prevalence 8.96%. The highest prevalence was in 4th decade. Bleeding was seen in 23.63%, gastric outlet obstruction 4.20%, ulcer perforation 0.52%. 9.39% of peptic ulcer patients had undergone surgery. When compared to previous study in 1985 in Kashmir, there was decrease in point prevalence of 25%, in life-time prevalence of 20.14%, Gastric outlet obstruction by 51.7%, ulcer perforation by 87%, surgery rate by 60% and bleeding by a marginal 2%. CONCLUSION: Prevalence of peptic ulcerand its complications (except bleeding) are showing downward trend in Kashmir over the last 20 years. JMS 2012;15(2):136-40

Gastrojejunostomy Versus Duodenal Stent Placement for the Palliation of Malignant Gastric Outlet Obstruction: Multicenter Randomized Trial

2009 ◽  
Vol 69 (5) ◽  
pp. AB187 ◽  
Author(s):  
Suzanne Jeurnink ◽  
Ewout W. Steyerberg ◽  
Jeanin E. Van Hooft ◽  
Casper H. Van Eijck ◽  
Matthijs P. Schwartz ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Gastric Outlet Obstruction ◽  
Stent Placement ◽  
Outlet Obstruction ◽  
Malignant Gastric Outlet Obstruction ◽  
Multicenter Randomized Trial ◽  
Duodenal Stent
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