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Morgagni hernia–an uncommon cause of gastric outlet obstruction
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  1. Tim Rattay1,
  2. Sukhbir Ubhi2
  1. 1Department of Hepatobiliary Surgery, University Hospitals of Leicester, Leicester, UK
  2. 2Department of Surgery, University Hospitals of Leicester, Leicester, UK
  1. Correspondence to Dr Tim Rattay, timrattay{at}doctors.org.uk

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Description

A 79-year-old man was admitted with a 3 day history of profuse vomiting. Plain chest x-ray on admission showed an elevated right hemidiaphragm. The abdominal film was within normal limits. A nasogastric tube was inserted and the patient was rehydrated. Subsequent CT of chest and abdomen demonstrated an anterior diaphragmatic hernia with the antrum, body and pylorus of stomach, along with the transverse colon in the chest (figures 1–3). The …

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