A Case Report on Left Paraduodenal Internal Hernia with Congenital Ladd’s Bands

A 34-year-old male presented to the emergency department with complaints of sudden onset abdominal pain associated with nausea. He had similar complaints 2 months back which resolved spontaneously. Abdominal examination revealed tenderness in the periumbilical and the right lumbar region. These features were suggestive of sub-acute intestinal obstruction. The patient was diagnosed to have left paraduodenal hernia on contrast enhanced computed tomography. Jejunum and ileal loops were noted to be in the hernial sac. Surgical repair involved adhesiolysis of the bowel loops, reduction of the hernial sac contents and closure of the hernial defect. The patient had no post operative complications.