# Post-cholecystectomy Incisional Hernia With Gastric Outlet Obstruction

## TL;DR

A rare case of gastric outlet obstruction caused by an incisional hernia after cholecystectomy is reported, emphasizing the importance of early diagnosis and surgical treatment.

## Contribution

Highlights a rare clinical scenario of gastric outlet obstruction due to gastric herniation through an incisional hernia.

## Key findings

- An incisional hernia involving the stomach caused gastric outlet obstruction in a 50-year-old female.
- Surgical repair resolved symptoms and prevented complications.
- CECT is crucial for diagnosing such hernias.

## Abstract

An incisional hernia is a common complication after abdominal surgery. The omentum and small bowel are the most commonly herniated intra-abdominal structures through the fascial defect; however, involvement of the stomach in incisional hernia causing gastric outlet obstruction is very rare. We report a case of a 50-year-old female patient who presented with symptoms of intermittent nausea, vomiting, abdominal swelling, and postprandial discomfort. Clinical examination and imaging revealed an incisional hernia containing an antral part and greater curvature of the stomach, causing gastric outlet obstruction. Reduction of the herniated contents, defect closure, and on-lay mesh placement resulted in the resolution of symptoms. Gastric outlet obstruction secondary to incisional hernia is more frequently observed in middle-aged elderly patients who have had previous abdominal procedures and in women with multiple pregnancies. Contrast-enhanced computed tomography (CECT) plays a crucial role in the diagnosis. Surgical repair remains the definitive treatment for hernias to prevent complications. This case highlights the need to consider incisional hernias with gastric herniation as a potential cause for gastric outlet obstruction, especially in patients of geriatric age. Early diagnosis and surgical treatment are important to relieve symptoms and reduce the risk of complications.