DOI: 10.36347/sjmcr.2021.v09i02.020

Pages: 190-192

The left para-duodenal hernia or mesocolic hernia is a rare cause of occlusion for young adults, its association with a peritoneal bridle is exceptional. We reporting a case of a 20-year-old young man with a history of appendectomy presenting with occlusion syndrome. Abdominal CT scan with contrast suggests the diagnosis of left para-duodenal hernia, with intraoperative discovery of a bridle in the right iliac fossa. In view of the non-specific clinical presentation, internal hernias is a challenging diagnostic. Intestinal obstruction by bridles remains the main differential diagnosis, however a possible association should not be overlooked.