{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T08:11:17Z","timestamp":1768983077237,"version":"3.49.0"},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T00:00:00Z","timestamp":1768867200000},"content-version":"vor","delay-in-days":27,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,12,24]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Left paraduodenal hernia is the most common congenital internal hernia and a rare cause of acute small-bowel obstruction. Delay in diagnosis may lead to strangulation and bowel necrosis requiring urgent surgery. We report the case of a 30-year-old man presenting to a field hospital with sudden severe abdominal pain, vomiting, tachycardia, and generalized peritonism. Abdominal computed tomography demonstrated a cluster of jejunal loops in the left upper quadrant beneath the superior mesenteric vein, consistent with left paraduodenal hernia and closed-loop obstruction. Emergency midline laparotomy revealed a necrotic jejunal segment strangulated within the hernia sac. Approximately 60\u00a0cm of jejunum was resected, and a hand-sewn end-to-end anastomosis performed. A planned second-look laparotomy 48\u00a0hours later demonstrated complete bowel viability. Despite limited diagnostic resources in the conflict-zone field hospital, early operative intervention resulted in an uncomplicated recovery. This case underscores the need for high clinical suspicion and prompt surgery when internal hernia is suspected.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf1099","type":"journal-article","created":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T12:26:38Z","timestamp":1767011198000},"source":"Crossref","is-referenced-by-count":0,"title":["Strangulated left paraduodenal hernia with jejunal necrosis managed in a field hospital: a case report"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7309-8040","authenticated-orcid":false,"given":"Khaled","family":"Alshawwa","sequence":"first","affiliation":[{"name":"General Surgery Department, Palestine Red Crescent Society Saraya Field Hospital , Gaza P860 ,","place":["Palestine"]},{"name":"Faculty of Medicine, Al Azhar University of Gaza ,","place":["Palestine"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abed","family":"Dawoud","sequence":"additional","affiliation":[{"name":"General Surgery Department, Palestine Red Crescent Society Saraya Field Hospital , Gaza P860 ,","place":["Palestine"]},{"name":"Faculty of Medicine, Al Azhar University of Gaza ,","place":["Palestine"]},{"name":"General Surgery Department, Shifa Medical Complex , Gaza ,","place":["Palestine"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amjad Abu\u2013","family":"AlQumboz","sequence":"additional","affiliation":[{"name":"General Surgery Department, Palestine Red Crescent Society Saraya Field Hospital , Gaza P860 ,","place":["Palestine"]},{"name":"Faculty of Medicine, Al Azhar University of Gaza ,","place":["Palestine"]},{"name":"General Surgery Department, Shifa Medical Complex , Gaza ,","place":["Palestine"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,1,20]]},"reference":[{"key":"2026012010264739600_ref1","first-page":"170","article-title":"CT findings in symptomatic left paraduodenal hernia","volume":"79","author":"Suchato","year":"1996","journal-title":"J Med Assoc Thai"},{"key":"2026012010264739600_ref2","first-page":"1116","article-title":"Small bowel obstruction related to left paraduodenal hernia: CT diagnosis and surgical management","volume":"78","author":"Osadchy","year":"2005","journal-title":"Br J Radiol"},{"key":"2026012010264739600_ref3","doi-asserted-by":"publisher","first-page":"1187","DOI":"10.1007\/s10029-019-01947-3","article-title":"Paraduodenal hernias: a systematic review of the literature","volume":"23","author":"Schizas","year":"2019","journal-title":"Hernia"},{"key":"2026012010264739600_ref4","doi-asserted-by":"publisher","first-page":"108423","DOI":"10.1016\/j.ijscr.2023.108423","article-title":"Extensive small bowel necrosis due to congenital paraduodenal hernia: a case report","volume":"108","author":"Sghaier","year":"2023","journal-title":"Ann Med Surg"},{"key":"2026012010264739600_ref5","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1186\/1749-7922-8-5","article-title":"Acute intestinal obstruction secondary to left paraduodenal hernia: a case report and literature review","volume":"8","author":"Al-Khyatt","year":"2013","journal-title":"World J Emerg Surg"},{"key":"2026012010264739600_ref6","doi-asserted-by":"publisher","first-page":"rjaa326","DOI":"10.1093\/jscr\/rjaa326","article-title":"Minimally invasive management of a paraduodenal hernia with intestinal malrotation","volume":"2020","author":"Misheva","year":"2020","journal-title":"J Surg Case Rep"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/1\/rjaf1099\/66475290\/rjaf1099.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/1\/rjaf1099\/66475290\/rjaf1099.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T15:26:53Z","timestamp":1768922813000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf1099\/8431467"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,24]]},"references-count":6,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,12,24]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf1099","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,1]]},"published":{"date-parts":[[2025,12,24]]},"article-number":"rjaf1099"}}