Giant paraumbilical hernia causing gastric outlet obstruction in a young man with class III obesity: a case report and literature review - Takeaways - MDSpire

Giant paraumbilical hernia causing gastric outlet obstruction in a young man with class III obesity: a case report and literature review

  • By

  • Guo Hou Loo

  • Meng Xian Chan

  • Zhun Shen Tan

  • Nik Ritza Kosai

  • June 24, 2026

  • 0 min

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  • 1

    Gastric outlet obstruction from a paraumbilical hernia is rare, typically seen in elderly patients due to ligamentous laxity.

  • 2

    A 38-year-old man with class III obesity experienced GOO due to a giant paraumbilical hernia containing the stomach and other viscera.

  • 3

    The patient presented with severe symptoms including daily vomiting, significant weight loss, and chronic constipation.

  • 4

    An open Rives-Stoppa retrorectus mesh repair was performed, resulting in an uneventful recovery and resolution of symptoms.

  • 5

    This case highlights the need for a high index of suspicion for GOO in young patients with severe obesity and paraumbilical hernias.

Original Source(s)

Giant paraumbilical hernia causing gastric outlet obstruction in a young man with class III obesity: a case report and literature review

  • by Guo Hou Loo, Meng Xian Chan, Zhun Shen Tan, Nik Ritza Kosai

  • June 24, 2026

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