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A 76-year-old woman with gastric outlet obstruction
  1. Smita Manchanda1,
  2. Ashish Kumar2,
  3. Akhil Garg2,
  4. Arun Gupta2
  1. 1Department of Radiodiagnosis, UCMS and GTB Hospital, Delhi, India
  2. 2Department of Surgery, UCMS and GTB Hospital, Delhi, India
  1. Correspondence to Dr Smita Manchanda, BM 149, Shalimar Bagh (West), Delhi 110088, India; smitadhingra{at}

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A 76-year-old woman presented to the emergency department with a 3 day history of continuous pain in the upper abdomen and multiple episodes of non-projectile vomiting. The patient was dehydrated and physical examination revealed a firm right parasternal bulge and epigastric tenderness. There was a large air-fluid level in the retrocardiac area on the chest radiograph (figure 1). CT abdomen revealed an anteromedial defect in …

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  • Contributors SM: Case diagnosis, pictures, planning and manuscript preparation. AK: Literature search, manuscript editing. AkG: Review of literature, manuscript editing. AG: Case management, manuscript editing.

  • Competing interests None.

  • Patient consent Obtained.

  • Ethics approval UCMS and GTB Hospital.

  • Provenance and peer review Not commissioned; internally peer reviewed.