Case Report: A Rare Gastrojejunal Connection Causing Internal Hernia

Internal hernias are rare and often difficult to diagnose due to their nonspecific clinical presentation. We describe an unusual case of an internal hernia caused by an abnormal gastrojejunal connection, incidentally identified during a laparoscopic appendectomy. Intraoperative exploration revealed a fibrous band extending from the jejunal wall to the posterior gastric wall, creating a hernia orifice that entrapped the small intestine and its mesentery. The anomalous band was excised in its entirety, and the herniated bowel was repositioned to restore normal anatomy. The patient recovered uneventfully and remained asymptomatic during 1 year of follow-up. This report highlights the diagnostic value of CT reconstruction and the importance of meticulous intra-abdominal exploration in managing atypical internal hernias.