Left-sided mesocolic hernia presenting as internal Maydl's hernia, complicated by jejunal volvulus

Abstract

Left mesocolic hernia (syn – left paraduodenal hernia/hernia of Landzert) is a type of internal hernia which occurs due to malrotation of the midgut and forms a potential space near the ligament of trietz. Prompt diagnosis is crucial to prevent strangulation. We report a rare case of left mesocolic hernia presenting as internal Maydl's hernia complicated by jejunal volulus, presenting as acute abdomen. An emergency derotation and reduction of small bowel was done with repair of the defect.

Keywords

• internal hernia
• jejunal volvulus
• maydl's hernia
• mesocolic hernia
• paraduodenal hernia