# Epigastric anterior abdominal wall hernia: An unusual cause of gastric outlet obstruction

## TL;DR

An unusual case of a 79-year-old woman with a rare epigastric hernia causing gastric outlet obstruction is presented.

## Contribution

The paper highlights a rare cause of gastric outlet obstruction through a case report with imaging findings.

## Key findings

- CT scan revealed partial gastric outlet obstruction due to an epigastric hernia.
- Fluoroscopy showed the stomach in the hernial sac and delayed gastric emptying.

## Abstract

A 79-year-old female presented with a 3-week history of dysphagia and vomiting, and an upper abdominal mass which had increased in size over the previous 2 weeks. CT scan showed a partial gastric outlet obstruction secondary to an epigastric hernia. This was assessed further on fluoroscopy, showing the distal stomach in the hernial sac and a delay in gastric emptying. We present the CT and fluoroscopic findings of this rare cause of gastric outlet obstruction.