DOI: 10.36347/sjmcr.2022.v10i09.003

Pages: 866-868

We report a case of a left para-duodenal internal hernia in order to describe the role of a CT scan in its diagnosis. It was a 19-year-old boy with no known personal medical history. He was received at “The stars clinic’’ in Bamako (Mali) on 01/15/2020 for an abdominal CT scan for the assessment of diffuse abdominal pain on mass on palpation. The CT scan revealed agglutination of the small intestinal loops with its mesentery and its mesenteric vessels in the left paramedian location without complications. Faced with this semiological CT scan, the diagnosis of a left para-duodenal internal hernia was retained. Surgical management confirmed this diagnosis. Since the clinical diagnosis of an internal hernia is often unrecognized, cross-sectional imaging methods with multiplanar reformatting, in particular CT scan, remain essential in the management of this pathology.