Left paraduodenal internal hernia

Discussion:

At surgery, abnormal location of bowel was noted with the additional finding of twisting of the mesentery resulting in venous occlusion and bowel ischemia. After devolvulizing, the bowel was deemed viable and no bowel was resected. Additionally, congenital bands were seen near the ligament of Treitz, which were lysed. Postoperative course was uncomplicated.

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