eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2015-06-25 3 8 225 226 10.12691/ajmcr-3-8-1 AJMCR2015381 article Thiam O o_thiam@hotmail.fr 1 Toure AO 1 Gueye ML 1 Seck M 1 Cisse M 1 Foba ML 1 Ka O 1 Dieng M 1 Dia A 1 Toure CT 1 General surgery department, Aristide Le Dantec hospital of Dakar Internal hernia is an unusual pathology. They are underestimated becauseit is usually asymptomatic. The diagnosis is usually done during a complication like the acute intestinal obstruction. We report a case of left paraduodenal internal hernia. He was received at the emergency in a clinical presentation of acute intestinal obstruction. The abdomino- pelvicCT scan could not confirm the diagnosis in preoperative. The laparotomy confirms the diagnosis. The treatment consisted in the reduction of intestines and the closing of the bag. The post-operative was simple after a year of follow-up. http://pubs.sciepub.com/ajmcr/3/8/1/ajmcr-3-8-1.pdf internal hernia paraduodenal hernia rare hernia intestinal obstruction