Background: The occurrence of paraduodenal hernia is rare and is attributed to a congenital abnormality resulting from a rotational defect in the midgut. A female patient, aged 13, was admitted to the emergency room of our hospital after a prolonged period of intense and persistent stomach discomfort. There was evidence of bunch of clustered small bowel loops in left anterior Para renal space , showing insertion of few vowel loops in mesentery defect, possibly represent internal hernia , most likely left paraduodenal hernia. The occurrence of paraduodenal hernia is infrequent and it serves as a less common aetiology for acute abdomen. As a result, the diagnosis of this condition is often inaccurate or delayed due to the diverse range of clinical presentations it exhibits.