INTRODUCTIONInternal hernias are primarily caused by the intestine stretching through a mesenteric defect or peritoneum defect (1). They could be acquired or congenital. A rare congenital defect called a para duodenal hernia (PDH) is caused by a malrotation of the midgut (2). PDHs make up 53% of all internal hernias, making them the most frequent type (3). Because of the variability of the clinical signs, PDHs are challenging to identify (4). PDH may start as acute blockage or recurrent abdominal pain symptoms (43%), or it may remain asymptomatic for the duration of the patient’s life. Of all internal hernias, between 10 and 50 percent are found after unrelated abdominal surgeries, imaging tests, or autopsies (5). An abdominal computed tomography scan performed before surgery is typically diagnostic, yet Frequently, the diagnosis is made during surgery. Both minimally invasive laparoscopic procedures and conventional open approaches can be used to undertake surgical treatments. Here, we report on an adult man’s successful laparoscopic repair of a left PDH, as well as the preoperative radiological diagnostic.