Abstract
Internal hernias through mesenteric defects are a rare cause of bowel obstruction. Early recognition and intervention are crucial for preventing bowel ischemia and subsequent complications. We report a case of a 64-year-old female who presented with acute intestinal obstruction secondary to an internal hernia associated with volvulus. She had a previous surgical history of exploratory laparotomy 25 years back. This case illustrates the diagnostic challenges of internal hernias and emphasizes the importance of considering this entity in patients with previous abdominal surgery presenting with bowel obstruction. A CT scan helps in prompt diagnosis, and early surgery is required for the management. The concurrent finding of midgut volvulus adds to the uniqueness of this presentation.