# Surgical Insight Into Paraduodenal Hernia Causing Intestinal Obstruction

## TL;DR

A rare case of a left paraduodenal hernia causing intestinal obstruction was successfully treated with laparoscopic surgery, emphasizing the importance of early diagnosis.

## Contribution

This case report adds a rare clinical example of PDH and highlights the effectiveness of minimally invasive surgical management.

## Key findings

- A 25-year-old male was diagnosed with left paraduodenal hernia via contrast-enhanced CT.
- Laparoscopic surgical repair successfully resolved the intestinal obstruction.
- Early diagnosis and intervention prevented life-threatening complications like perforation.

## Abstract

Paraduodenal hernia (PDH), also known as mesocolic hernia, is a rare internal hernia resulting from a congenital anomaly caused by improper retroperitoneal fixation of the mesentery due to abnormal midgut rotation. Although uncommon, internal hernias can cause acute intestinal obstruction and pose a life-threatening risk if not promptly diagnosed and managed. This case report presents a 25-year-old male with a two-month history of progressively worsening abdominal pain, exacerbated by food intake and accompanied by vomiting. Imaging via contrast-enhanced CT revealed a left PDH, with clustering of jejunal loops and displacement of mesenteric vessels. The patient underwent successful laparoscopic surgical repair, including hernia sac reduction and defect closure. Timely identification and surgical intervention were critical in preventing complications such as intestinal perforation and peritonitis. This case underscores the clinical importance of considering PDH in patients with recurrent abdominal symptoms and highlights the benefits of early diagnosis and minimally invasive surgical management.