Abstract
A 24-year-old man with acute abdominal pain was admitted to the hospital because of ileus. He had no previous laparotomy. Abdominal roentgenogram revealed intestinal dilatation with niveau and computed tomography scan revealed a mass contained in the small bowel in the right upper abdomen. A contrast radiography with long tube showed the upper small bowel was located on the right side of the abdominal cavity. An emergency operation was performed with a diagnosis of strangulation ileus due to internal hernia. We found a hernia orifice about 5cm in diameter between the mesentery of the transverse colon and retroperitoneum, and the small bowel had invaginated through the orifice under the right side of the mesentery of the transverse colon. The small bowel had no necrosis, so it was returned to the normal position and the orifice was closed. We report this rare case of paraduodenal hernia originated in the intermesocolic fossa of Broesike, together with a review of the literature.
