{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T19:38:10Z","timestamp":1785008290801,"version":"3.55.0"},"reference-count":12,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T00:00:00Z","timestamp":1630454400000},"content-version":"vor","delay-in-days":62,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Surg J (N Y)"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Internal hernia is a rare cause of intestinal obstruction, accounting for &lt;2% of cases with paraduodenal type being the most common. An internal hernia, mostly acquired, develops due to protuberance of the intestine through a gap in the peritoneum or mesentery formed as a result of an antecedent abdominal operation such as gastric bypass or liver transplant, ischemic injury, peritonitis, or trauma. Paraduodenal hernias (PDHs) are congenital anomalies, secondary to a failed fusion of mesentery with parietal peritoneum along with rotational midgut errors, causing the evolution of potential space for herniation within the left paraduodenal fossa. Primary internal hernias can have a varied clinical presentation and cause significant mortality and morbidity if left untreated. We report the case of a 20-year-old female with chronic pain in abdomen and intestinal obstruction due to left PDH (LPDH). The prompt diagnosis led to timely exploration and reduction of entrapped jejunum, with prudent closure of the hiatus, while circumventing any injury to the adjacent mesenteric circulation. No postoperative ileus arose, and recovery was uneventful.<\/jats:p>","DOI":"10.1055\/s-0041-1733989","type":"journal-article","created":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T22:57:15Z","timestamp":1630537035000},"page":"e212-e215","source":"Crossref","is-referenced-by-count":1,"title":["Left Paraduodenal Hernia Presenting as Closed Loop Jejunal Obstruction in a Young Female: An Enigmatic and Perilous Differential of Acute Abdomen"],"prefix":"10.1055","volume":"07","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9630-2932","authenticated-orcid":false,"given":"Deepak","family":"Rajput","sequence":"additional","affiliation":[{"name":"Department of General Surgery, All India Institute of Medical Sciences Rishikesh, Uttarakhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9554-2985","authenticated-orcid":false,"given":"Ankit","family":"Rai","sequence":"additional","affiliation":[{"name":"Department of General Surgery, All India Institute of Medical Sciences Rishikesh, Uttarakhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4847-4120","authenticated-orcid":false,"given":"Amit","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of General Surgery, All India Institute of Medical Sciences Rishikesh, Uttarakhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7870-8362","authenticated-orcid":false,"given":"Subramanian","family":"Chezhian","sequence":"additional","affiliation":[{"name":"Department of General Surgery, All India Institute of Medical Sciences Rishikesh, Uttarakhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0870-0776","authenticated-orcid":false,"given":"Shashank","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of General Surgery, All India Institute of Medical Sciences Rishikesh, Uttarakhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1288-7297","authenticated-orcid":false,"given":"Ashikesh","family":"Kundal","sequence":"additional","affiliation":[{"name":"Department of General Surgery, All India Institute of Medical Sciences Rishikesh, Uttarakhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2021,9,1]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1016\/0002-9610(86)90258-8","article-title":"Congenital and acquired internal hernias: unusual causes of small bowel obstruction","volume":"152","author":"B D Newsom","year":"1986","journal-title":"Am J Surg"},{"key":"ref2","volume-title":"Dynamic Radiology of the Abdomen: Normal and Pathologic Anatomy","author":"M A Meyers","year":"2000"},{"issue":"04","key":"ref3","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1007\/s00276-007-0212-6","article-title":"Internal hernias: anatomical basis and clinical relevance","volume":"29","author":"O Armstrong","year":"2007","journal-title":"Surg Radiol Anat"},{"issue":"03","key":"ref4","first-page":"498","article-title":"Paraduodenal hernia: diagnosis and surgical management","volume":"96","author":"R A Brigham","year":"1984","journal-title":"Surgery"},{"issue":"12","key":"ref5","first-page":"1218","article-title":"Paraduodenal hernia","volume":"64","author":"M A Khan","year":"1998","journal-title":"Am Surg"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"1581","DOI":"10.12659\/AJCR.918403","article-title":"A rare case of small bowel obstruction due to paraduodenal hernia","volume":"20","author":"R S Al Otaibi","year":"2019","journal-title":"Am J Case Rep"},{"key":"ref8","first-page":"3913784","article-title":"Left paraduodenal hernia: a rare complication following laparoscopic appendectomy","volume":"2017","author":"M A Kozman","year":"2017","journal-title":"Case Rep Surg"},{"issue":"02","key":"ref9","doi-asserted-by":"crossref","first-page":"422","DOI":"10.1148\/radiol.2212010126","article-title":"Radiologist performance in the diagnosis of internal hernia by using specific CT findings with emphasis on transmesenteric hernia","volume":"221","author":"A Blachar","year":"2001","journal-title":"Radiology"},{"issue":"04","key":"ref10","doi-asserted-by":"crossref","first-page":"997","DOI":"10.1148\/rg.254045035","article-title":"CT of internal hernias","volume":"25","author":"N Takeyama","year":"2005","journal-title":"Radiographics"},{"issue":"06","key":"ref11","first-page":"455","article-title":"Left paraduodenal hernia: an unusual cause of small-bowel obstruction","volume":"44","author":"R Manji","year":"2001","journal-title":"Can J 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