Left paraduodenal hernia presenting as recurrent small bowel obstruction

Figure 1 A: Computed tomography (CT) showing a soft tissue mass between the stomach, the pancreas, and the transverse colon (arrow); B: Upper gastrointestinal series showing a cluster of jejunum interposing between the stomach and the spine; C: The mass proved to be a cluster of intestinal loop after ingestion of contrast medium.

Figure 2 A: Loops of small bowel behind the mesocolon. Treitz’s ligament was not seen. SMV: superior mesenteric vein, J: jejunum; B: the orifice through which the small bowel herniated (arrow). IMV: inferior mesenteric vein; C: completion of the repair.