A Patient Presents With Unproductive Retching - Acute Localized Epigastric Distention And Inability To Pass A Nasogastric Tube. What Is The Most Likely Diagnosis?

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1. A Patient Presents With Unproductive Retching - Acute Localized Epigastric Distention And Inability To Pass A Nasogastric Tube. What Is The Most Likely Diagnosis?