Vol. 2, Issue 12, Part L (2016)

Abstract
Paraduodenal internal hernia is a rare type of congenital anamoly resulting from incomplete rotation or malrotation of the midgut during fetal development. It is recognised as most frequent of all the internal hernias (50%). We report a case of left paraduodenal hernia in a 39 years old male patient who had presented to emergency department with complaints of pain abdomen. The final diagnosis was made after CECT abdomen. Patient underwent laparotomy which confirmed the CECT finding. Herniating bowel loops were reduced and defect closed. It is important to consider the diagnosis of internal hernias in the differential diagnosis for a young patient with recurrent small bowel obstruction with no past history of any surgical intervention. CECT scan is the most specific imaging technique to acquire a diagnosis preoperatively. Future complications can be prevented by timely surgical intervention