Abstract
Acute gastric outlet obstruction is a rare entity causing a nightmare to the treating surgeon and the patient. Etiologies include foreign body ingestion, opposing peptic ulcers, gastric volvulus, hiatus hernia. Causes for gastric outlet obstruction presenting with epigastric mass are epigastric hernia containing stomach pylorus, trichobezoar and carcinoma stomach. After an exhaustive literature review, only 6 cases of epigastric hernia with stomach as content could be found.
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