A 95-year-old patient presented with vomiting and epigastric pain that had been progressing over the previous 2 days. Upon examination, a painful irreducible epigastric mass was detected (Fig. 1 3D CT reconstruction). Computed tomography showed an epigastric hernia containing the gastric antrum with edematous mucosa (Fig. 2 coronal slice; Fig. 3 sagittal slice). Emergency surgery revealed a 4-cm wall defect with a protruding 2cm×2cm circular area of gastric antrum and a circular fibrotic area on its surface without obstruction. The hernia contents were reintroduced into the abdomen as they presented a viable appearance. A polypropylene mesh was attached over the defect with interrupted nonabsorbable sutures, and the patient was discharged on the third day of hospitalization with no further complications.
Please cite this article as: Pagnozzi Angel J, Ugalde P, Perez Lopez F, Fernández Fernández JC. Hernia epigástrica con incarceración del antro gástrico. Cir Esp. 2015;93:e9.
