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BMJ Case Reports 2009; doi:10.1136/bcr.05.2009.1880
  • Findings that shed new light on the possible pathogenesis of a disease or an adverse effect

Gastric outlet obstruction from a caecal volvulus, herniated through epiploic foramen: a case report

  1. Kausik Ray,
  2. Claire Snowden,
  3. Kamran Khatri,
  4. Malcolm Mcfall
  1. Department of Surgery, Worthing Hospital, Lyndhurst Road, Worthing, West Sussex, UK
  1. Kausik Ray, ray_kausik2003{at}yahoo.co.in
  • Published 12 July 2009

Summary

A 55-year-old woman presented with sudden onset upper abdominal pain and vomiting. On examination she had tender epigastric mass with “succusion splash” on auscultation. Straight abdominal x ray showed a distended and displaced stomach with another gas filled viscus around it. Subsequent computed tomography suggested caecal volvulus herniated through the epiploic foramen obstructing the gastric outlet. The patient underwent reduction of the internal hernia and right hemicolectomy. Postoperative recovery was uneventful. Herniation of caecal volvulus through the epiploic foramen is a very rare condition and its presentation as a gastric outlet obstruction has not been reported before.

Footnotes

  • Competing interests: none.

  • Patient consent: Patient/guardian consent was obtained for publication

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