Giant paraumbilical hernia causing gastric outlet obstruction in a young man with class III obesity: a case report and literature review - Report - MDSpire
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Giant paraumbilical hernia causing gastric outlet obstruction in a young man with class III obesity: a case report and literature review
Clinical Report: A Case Study of a Large Paraumbilical Hernia Inducing GOO
Background
Gastric outlet obstruction is an uncommon clinical syndrome, often associated with malignancies or benign processes. Paraumbilical hernias are common and can lead to GOO, particularly in patients with obesity.
Data Highlights
No numerical data or trial data provided in the article.
Key Findings
A 38-year-old male with class III obesity presented with GOO due to a paraumbilical hernia.
The hernia contained the stomach, transverse colon, small bowel, and omentum.
Contrast-enhanced CT revealed a fascial defect measuring 5.6 × 7.5 cm.
Endoscopy showed extrinsic compression at the gastric body and pylorus.
The patient underwent an open Rives-Stoppa mesh repair with an uneventful recovery.
Postoperative follow-up indicated the patient was asymptomatic with a full oral diet.
Clinical Implications
Clinicians should consider GOO in obese patients presenting with gastrointestinal symptoms. Multi-detector CT is a useful tool for diagnosis.
Conclusion
This case illustrates GOO from a paraumbilical hernia in a patient with obesity.
