A 61-year-old male presented with symptoms of haematemesis that had been progressing for 24h, associated with a distended abdomen, guarding and an irreducible giant left inguinal hernia.
Computed tomography revealed important gastric distension with pneumatosis of the wall and a left inguinal hernia that contained the stomach, small bowel and colon, as well as free gas in the hernia sac and portal venous system (Fig. 1).
We decided to operate immediately and observed a dilated stomach with areas of necrosis and multiple perforations that occupied most of the abdominal cavity and hernia sac. Near total gastrectomy was performed along with inguinal hernioplasty. The patient died due to nosocomial pneumonia.
Please cite this article as: Pueyo Périz EM, Andrés Pérez S, García Tejero A, García Fernández C. Necrosis gástrica secundaria a incarceración inguinal. Cir Esp. 2016;94:180.
