title: Rare cause of gastric outlet obstruction: incarcerated pylorus within an inguinal hernia.
abstract: We present the case of a 79-year-old man admitted to the emergency room. Having anorexia and vomiting as main complaints, combined with abdominal distension and discomfort, diagnostic examination revealed a giant left inguinal hernia containing the antrum and pylorus of a dilated stomach,  creating an outlet obstruction. This was complicated with free peritoneal air, gastric emphysema and air in the portal system due to ischaemia.
authors.affiliation: Regional Hospital Heilig Hart, Tienen, Belgium. ikerschaever@hotmail.com
authors.forename: I
authors.initials: I
authors.lastname: Kerschaever
authors.forename: S
authors.initials: S
authors.lastname: Poelmans
authors.forename: J
authors.initials: J
authors.lastname: Vankeirsbilck
authors.forename: M
authors.initials: M
authors.lastname: Vandewoude
mesh_terms: D000368:Aged; D000388:Air; D004108:Dilatation, Pathologic / Q000209:etiology; D004646:Emphysema / Q000209:etiology; D017219:Gastric Outlet Obstruction / Q000209:etiology*; D006552:Hernia, Inguinal / Q000150:complications*; D006801:Humans; D007511:Ischemia / Q000209:etiology; D008297:Male; D011706:Pyloric Antrum; D014057:Tomography, X-Ray Computed; D014839:Vomiting / Q000209:etiology