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.