PMC4145264_01
Small gut in the left paraduodenal area enclosed in a hernia sac
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The patient was thus taken to the operating room urgently for exploratory laparotomy, which showed dusky but viable small bowel, twisted upon its mesentery and entrapped in a large left paraduodenal space Figure 1.
Paraduodenal hernia sac opened and the bowel reduced from it
PAMJ-17-230-g002.jpg
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Once the bowel was reduced from the paraduodenal space and the volvulus was untwisted, the blood flow was reestablished and the small bowel resumed a healthy appearance Figure 2.