Internal hernias represent only 0.5 to 1% of all causes of bowel obstruction. A 59-year-old patient presented acuetly with small bowel obstruction. Laparotomy revealed a left paraduodenal hernia with most of the small bowel herniating through a space between the inferior mesenteric vein and duodenojejunal junction.

Intussusception in adults is quite rare. The computed tomography scan has proved to be more accurate.The surgical approach is influenced by the prevalence of associated malignancy, the anatomic site, and various local factors. Primary surgical resection without prior reduction is the treatment of choice in colocolic adult intussusception.

COVID-19 cases are increasing worldwide. With such emerging disease the medical community should be aware of atypical clinical presentations in order to help with correct diagnosis, and to take the proper measures to isolate and treat patients to avoid healthcare professionals being infected and to limit its spread (SARS-CoV-2).