Introduction: An internal hernia is a protrusion of bowel through a normal or abnormal orifice in the peritoneumudor mesentery. Although they are considered as a rare cause of intestinal obstruction, paraduodenal hernias are theudmost common type of congenital hernias.udMethods: A literature search using PubMed was performed to identify all published cases of left paraduodenaludhernia (LPDH).udResults: In Literature search between 1980 and 2012 using PubMed revealed only 44 case reports before theudpresent one. Median age was 47 years (range 18 – 82 years). Nearly 50% reported previous mild symptoms.udTwo-third of patients required emergency surgery in form of laparotomy or laparoscopic repair. Reduction of herniaudcontents with widening or suture repair of the hernia orifice were the most common standards in surgicaludmanagement of LPDH.udConclusion: Intestinal obstruction secondary to internal hernias is a rare presentation. High index of suspicion andudpreoperative imaging are essential to make an early diagnosis in order to improve outcome.
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