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Muhammad Haseeb Shah
Mardan Medical Complex, PakistanPresentation Title:
Post-cholecystectomy incisional hernia with gastric outlet obstruction
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
Biography
Muhammad Haseeb Shah is a medical doctor and aspiring surgeon who completed his MBBS from Khyber Medical University, Peshawar. He is currently working as a resident surgeon at Mardan Medical Complex, where he is gaining extensive hands-on experience in surgical care. He has a deep interest in medical research, with a strong passion for advancing clinical knowledge and improving patient outcomes. He remains committed to continuous learning, skill development, and ethical medical practice, aiming to contribute meaningfully to both surgical practice and academic medicine.
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