52 year old male presented with acute abdominal pain, vomiting. History of similar episodes 2 to 3 times earlier settled spontaneously. This episode was severe hence attended ER at their own place. Plain x-Ray abdomen showed 3 to 4 fluid levels. CECT

in their place suspected to have paraduodenal hernia. When he was transferred to our hospital, started passing flatus and was feeling better but clinically mass was felt in the left hypochondrium. Exploration confirmed the diagnosis and the sac was excised, small was released placed in order. Could not close the the sac as it was too small.

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