DOI: https://doi.org/10.36347/sasjm.2026.v12i01.015

Pages: 77-78

Internal hernias are rare causes of acute abdominal pain and can lead to severe intestinal obstruction. We report the case of a 38-year-old female patient presenting with abdominal pain localised in the left iliac fossa (FIG) and suprapubic region, with tenderness on palpation, partially relieved by morphine. Abdominal and pelvic computed tomography (CT) with and without contrast injection ruled out renal colic and led to a diagnosis of left paraduodenal internal hernia with upstream duodenal distension. No signs of acute complications were observed.