HighlightsA paraduodenal hernia is an uncommon hernia that results from an abnormal rotation of the midgut.Early diagnosis is imperative in order to avoid bowel ischemia, which is associated with high mortality.We present a case of a left-sided paraduodenal hernia in a virgin abdomen with a herniation of a loop of jejunum through a defect of the posterior portion of the ligament of Treitz.Treatment includes exploratory laparotomy, repair and reduction of the hernia, and laparoscopic repair.
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