Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2025 Jun 16;17(6):e86169.
doi: 10.7759/cureus.86169. eCollection 2025 Jun.

Post-cholecystectomy Incisional Hernia With Gastric Outlet Obstruction

Saad Salman  1 , Muhammad Haseeb Shah  1 , Sofia Jehanzeb  1 , Bashir Khan  1 , Aurangzeb Khan  1
Affiliations
Case Reports

Post-cholecystectomy Incisional Hernia With Gastric Outlet Obstruction

Saad Salman et al. Cureus. .

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.

Keywords: abdomen ventral hernia; cholecystectomy; gastric hernia; gastric outlet obstruction; incisional hernia repair.

PubMed Disclaimer

Conflict of interest statement

Human subjects: Informed consent for treatment and open access publication was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. Axial view of the incisional hernia, stomach, and omentum can be seen protruding from the site of the previous incision
Figure 2
Figure 2. Intraoperative view of the incisional hernia with gastric involvement
Figure 3
Figure 3. The image shows the pyloric end of the stomach adherent to the hernial sac
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Melnick DM, Arbuckle JD. Illustrative Handbook of General Surgery. Springer-Verlag New York, LLC; 2010. Incisional hernia; pp. 239–241.
    1. UpToDate. Clinical features, diagnosis, and prevention of incisional hernias. [ Feb; 2025 ]. 2025. https://www.uptodate.com/contents/clinical-features-diagnosis-and-preven... https://www.uptodate.com/contents/clinical-features-diagnosis-and-preven...
    1. Huge incisional hernia: a case report. Elganainy E, Abd-Elsayed AA. https://pubmed.ncbi.nlm.nih.gov/18831755/ Cases J. 2008;1:202. - PMC - PubMed
    1. Risk factors associated with surgical site infections: a retrospective report from a developing country. Ansari S, Hassan M, Barry HD, Bhatti TA, Hussain SZ, Jabeen S, Fareed S. https://pubmed.ncbi.nlm.nih.gov/31396469/ Cureus. 2019;11:0. - PMC - PubMed
    1. Prevalence of hernia in relation to various risk factors in Narowal, Pakistan. Naeem Iqbal M, Akhter S, Irfan M. https://thesciencepublishers.com/science_letters/files/v3i1-7-2014039-SL... Sci Lett. 2015;3:29–32.

Publication types

LinkOut - more resources