Abstract
A 67-year-old-woman who had undergone emergency open abdominal surgery for perforated duodenal ulcer six years prior was aware of an upper abdominal bulge one year after the surgery. She subsequently developed a gastric ulcer that did not improve significantly despite continuous medical treatment since the fourth year after surgery. Therefore, she was referred to our department with suspected intractable gastric ulcer. Gastroduodenoscopy revealed an active gastric ulcer in the pyloric ring of the stomach. Abdominal contrast-enhanced computed tomography showed an incisional hernia with protrusion of the gastric antrum and stagnant contrast agent in the right gastroepiploic vein. Based on these findings, she was diagnosed with intractable gastric ulcer caused by congestion of the right gastroepiploic vein, and the upper abdominal incisional hernia was successfully repaired. Gastroduodenoscopy performed 41 days after the surgery showed a healing gastric ulcer. Herein, we present our experience of successful treatment of an intractable gastric ulcer after repair of abdominal incisional hernia with a review of the literature.
