title: Intestinal obstruction due to a left paraduodenal hernia: a case report.
abstract: BACKGROUND
  A left paraduodenal hernia is a rare congenital malrotational anomaly of the midgut that occurs in the paraduodenal fossa of Landzert to the left of the fourth duodenum. It is responsible for approximately 1% of small bowel obstructions.
  
  
  METHODS
  We report a case of left paraduodenal hernia combined with small bowel obstruction in a 47-year-old Mediterranean woman who had a history of recurrent abdominal pain. An abdominal computed tomography scan showed a saclike mass clustered in the left upper quadrant but failed to yield a clear diagnosis. We describe the surgical anatomy of this disease and the emergency surgical management together with a short review of the literature.
  
  
  CONCLUSIONS
  Even though a left paraduodenal hernia is rare, it must be suspected in any upper intestinal occlusion. The high morbidity and mortality rate of complicated cases should motivate preventive treatment in case of incidental operative discovery.
authors: Surgical Department, Military Hospital, Mohammed V University, Avenue des FAR, Hay Riyad, Rabat, 10000, Morocco. smbouchentouf@hotmail.com.
authors: Sidi Mohammed
authors: SM
authors: Bouchentouf
authors: Ferdaous
authors: F
authors: Raissouni
authors: Hakim
authors: H
authors: El Kaoui
authors: Ahmed
authors: A
authors: Bounaim
authors: Mohammed
authors: M
authors: Jidal
authors: Abdelmounaim
authors: A
authors: Ait Ali
authors: Aziz
authors: A
authors: Zentar
authors: Khalid
authors: K
authors: Sair