# A Case Report on Internal Hernia as an Unusual Cause of Small Bowel Obstruction: A Diagnostic Triumph Unveiled by Computed Tomography Scan

## TL;DR

This case report highlights how a CT scan helped diagnose a rare internal hernia causing bowel obstruction in an adult patient.

## Contribution

The report emphasizes the critical role of CT scans in diagnosing rare internal hernias with non-specific symptoms.

## Key findings

- Computed tomography scans proved vital in diagnosing paraduodenal hernia in a patient with acute bowel obstruction.
- Prompt surgical intervention was necessary after diagnosis to prevent complications like strangulation.

## Abstract

Paraduodenal hernia is a type of internal hernia caused by defects in the peritoneum during fetal development. It is one of the uncommon causes of intestinal obstruction; diagnosing it and intervening promptly are required. In this case report, we describe our experience treating an adult male patient who presented with symptoms of acute small bowel obstruction and was later diagnosed with internal hernia on further evaluation. The purpose of this case report is to demonstrate the importance of imaging modalities, particularly computed tomography (CT) scan, in diagnosing these cases. Because of their mysterious symptoms, paraduodenal hernias are usually diagnosed late or incidentally. Although they are uncommon, they are far more likely to cause bowel obstruction and strangulation. Immediate surgical intervention is required following the diagnosis.