Strangulated Left Para Duodenal Hernia in Surgical Emergency

Para duodenal hernia is a relatively rare cause of small bowel obstruction, resulting from failure of mid-gut rotation during embryonic period. We encountered a case of left Para duodenal hernia causing strangulated small bowel obstruction in emergency. Due to nonspecific clinical presentation early and correct diagnosis of left Para duodenal hernia is difficult. Intestinal obstruction and strangulation may present in left Para duodenal hernia, so timely surgical intervention required for favourable outcome.