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Internal hernia with gastric outlet obstruction.

J Boras, M Sparberg, S M Poticha

Archives of Surgery (Chicago, Ill. : 1960)

|June 1, 1978

Summary

This case report details a rare internal hernia through the gastrohepatic ligament causing gastric outlet obstruction. Successful treatment was achieved for this unique presentation, highlighting an unusual cause of stomach blockage.

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Area of Science:

Gastroenterology
Surgical Case Reports
Abdominal Imaging

Background:

Internal hernias are rare, often presenting with non-specific symptoms.
Herniation through the gastrohepatic ligament is exceptionally uncommon.
Gastric outlet obstruction typically results from peptic ulcer disease or malignancy.

Observation:

A patient presented with symptoms suggestive of gastric outlet obstruction.
Imaging revealed an internal hernia involving the small bowel through the gastrohepatic ligament.
The herniated small bowel was causing extrinsic compression on the stomach.

Findings:

This is the first reported case of a gastrohepatic ligament hernia causing gastric outlet obstruction.
The obstruction was secondary to the herniated small bowel compressing the stomach, not the small bowel itself.
Successful surgical reduction of the hernia and relief of symptoms were achieved.

Implications:

This case expands the differential diagnosis for gastric outlet obstruction.
It underscores the importance of considering rare internal hernias in patients with unexplained upper gastrointestinal symptoms.
Highlights the potential for small bowel herniation to cause gastric, rather than enteric, symptoms.

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