Internal hernia as a rare cause of small bowel obstruction: An insight from 13 years of experience

Figure 1 Contrast-enhanced computed tomography in a case of left paraduodenal hernia. A: Clumped-up bowel loops in left anterior renal space; B: Presence of mesenteric whirling.

Figure 2 Steps of laparoscopic left paraduodenal hernia repair. A: Port placement includes a 10 mm optical port via the umbilicus (1), two working ports (2 and 3) of 5 mm, and an assistant port (4) of 5 mm. The port placement may vary as per surgeon’s preference; B and C: Laparoscopic view of left paraduodenal hernia repair demonstrating entrapped bowel loops below the mesocolon; D: As the mesocolon is lifted, Lenzert’s hernia defect can be demonstrated with small bowel loops as content; E: The contents are reduced by gentle traction; F: Defect is closed using non absorbable sutures.