case_images: PMC11809253_01
case_images: X-ray abdomen erect showing dilated small bowel loop with multiple air-fluid levels.
case_images: rjaf045f1.jpg
case_images: PMC11809253_01_rjaf045f1.jpg
case_images: f1
case_images: An abdominal X-ray showed distended small bowel loops with multiple air-fluid levels (Fig. 1).
case_images: Computed tomography abdomen and pelvis showing distended multiple jejunal loops bunched together in the left upper quadrant with narrowing of both proximal and distal ends suggestive of closed loop obstruction (? Paraduodenal hernia).
case_images: rjaf045f2.jpg
case_images: PMC11809253_01_rjaf045f2.jpg
case_images: f2
case_images: A CT scan of the abdomen and pelvis revealed multiple distended jejunal loops (maximum diameter 5.6 cm) clustered in the left upper quadrant, with proximal and distal narrowing suggestive of a closed-loop obstruction, consistent with a paraduodenal hernia (Fig. 2).
case_images: Intraoperative image showing reduced herniated jejunal loops and hernial defect.
case_images: rjaf045f3.jpg
case_images: PMC11809253_01_rjaf045f3.jpg
case_images: f3
case_images: The hernia orifice was securely closed with non-absorbable sutures to prevent recurrence (Fig. 3).