A rare case of mesocolic hernia causing intestinal obstruction leading to perforation

Internal hernia may be either congenital or acquired. Its incidence has been reported to be 1-2%. Herniation may be persistent or intermittent. Internal hernia is a rare cause of small bowel obstruction with a reported incidence of 0.2-0.9%. The most common type is paraduodenal. Less common types include mesocolic hernia, which occurs following abdominal surgery. We report a case of mesocolic hernia in a young patient, which presented as intestinal obstruction leading to perforation without any prior abdominal surgeries.