Paraduodenal hernia, a rare congenital anomaly which arises from an error of rotation of the midgut, is the most common type of intra-abdominal hernia. There are two variants, right and left paraduodenal hernia, the right being less common. We report the case of a 41-year-old patient with a right paraduodenal hernia who presented with 2 days history of continuous pain abdomen with multiple episodes of vomiting. Patient was decided to undergo laparotomy in view of Increasing abdominal pain and development of peritonitis. In a planned laparotomy, herniation of the small bowel loops through the fossa of Waldeyer, behind the ascending mesocolon was found which was gangrenous with prolapse of a few gangrenous loops into the peritoneal cavity. Gangrenous bowel was resected and an end to end jejuno ileostomy was performed.
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