A rare case of intestinal obstruction in a case of left paraduodenal hernia with malrotation

Abstract

A 23-year old male patient presented with a 5 day history of paraumblical pain, multiple episode of vomiting and absolute constipation. Intestinal obstruction was diagnosed following an abdominal x ray and CECT abdomen. At laparotomy, a left paraduodenal hernia containing small bowel with malrotation was present, without ischemia of small bowel. The herniated loops were reduced and the defect closed. Malrotated bowel loops were repositioned and sigmoidopexy was done in left iliac region and caecopexy done in right iliac region. The incidence, anatomy and treatment of this uncommon diagnosis are discussed.