Acute intestinal occlusion revealing a left paraduodenal hernia: case report

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DOI: 10.48087/BJMS.2026.130411

Authors: Louiza IAICHE ACHOUR1, Zakaria SEOUDI1, Sara MEHENNI1, Razika IBAGRACHE1, Mohamed ALES1, Abdelkrim ANOU1

Affiliations: Faculty of Medicine. University Saad Dahleb Blida 1. Department of visceral and digestive surgery Douera Hospital – Algeria

Abstract

Internal hernias are relatively rare, accounting for less than 1% of all abdominal hernias, with paraduodenal hernia being the most common subtype. Left paraduodenal hernia is a particularly rare condition that may constitute a surgical emergency. Its diagnosis is challenging due to its nonspecific clinical presentation and the wide variety of possible symptoms, necessitating careful and close monitoring. Intestinal obstruction is an uncommon presenting complaint. Computed tomography remains the gold standard for definitive diagnosis. Surgical repair, whether via an open or laparoscopic approach, is currently the preferred therapeutic option. We report a case of left paraduodenal hernia diagnosed in the context of intestinal obstruction in a 27-year-old patient managed in our surgical department.

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Keywords: internal hernia, left paraduodenal hernia, acute intestinal obstruction.