Open AccessGastric outlet obstruction with an elevated serum pancreatic lipase secondary to an infraumbilical hernia
Author(s) -
Weranja Ranasinghe,
M E Beth Smith
Publication year - 2013
Publication title -
annals of the royal college of surgeons of england
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.39
H-Index - 63
eISSN - 1478-7083
pISSN - 0035-8843
DOI - 10.1308/003588413x13629960047795
Subject(s) - medicine , gastric outlet obstruction , hernia , stomach , lipase , surgery , physical examination , peristalsis , anatomy , gastroenterology , chemistry , biochemistry , enzyme
We report the case of a 68-year-old woman who presented with symptoms and signs of gastric outlet obstruction with a history of a ventral hernia. Clinical examination revealed a large ventral hernia with visible peristalsis of the herniated viscera.Initial serum biochemistry revealed a markedly elevated lipase level and deranged renal function.Computed tomography demonstrated an infraumbilical hernia with herniation of the stomach through the ventral defect and distortion of the pancreatic anatomy. The hernia was reduced operatively and repaired, leading to an uneventful recovery.