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A case report of left paraduoenal hernia in an 18-year-old man presenting with complete small intestinal obstruction. This patient suffered from intermittent colicky abdominal pain for 10 days. The pain worsened over the 2 days before admission. He also had bilous vomiting and obstipation. He was diagnosed with complete small intestinal obstruction and sent for an emergency exploratory laparotomy. At operation, he was found to have a left paraduodenal hernia. The small bowel could be reduced manually into the normal position and the neck of the hernial sac was closed. He made an uneventful recovery after the operation and was discharged from hospital 4 days later. Although paraduodenal hernia is a rare cause of small intestinal obstruction, it should be taken into account in the differential diagnosis of small intestinal obstruction especially in a patient with no previous abdominal exploration. Early surgical intervention could prevent the possible complication of gangrenous bowel.
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