CONCLUSION:
Paraduodenal hernia is a rare congenital entity, and clinical diagnosis
of this condition requires a high level of suspicion. These patients
frequently present with non-descript abdominal pain or intermittent
obstruction, which can also be seen with other non-systolic motility
disorders of the GI tract. In addition, the finding is not always
evident when a physical examination and standard imaging are performed.
Therefore, preoperative diagnosis is challenging and rarely made prior
to surgery for acute small bowel obstruction. Imaging, including CT
scans, has improved detection, but diagnosis of paraduodenal hernias
early enough to prevent complications like bowel ischemia still demands
a high index of suspicion. If undiagnosed it will lead to delayed
surgical intervention, which can cause intestinal perforation,
peritonitis, and even death. Clinical suspicion, along with
comprehensive radiological investigation, helps us make an accurate
diagnosis and treatment.
Conflict of Interest: None
Funding : No funding received.