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Although a paraduodenal hernia is the most common intraabdominal herniation causing intestinal obstruction, the condition comprises less than 2% of intestinal obstructions in the pediatric age group. Accurate diagnosis of this condition may help in preparing for surgery and selection of the right surgical choice. Herein, we report a pediatric case of left paraduodenal hernia who presented with intractable vomiting and dehydration without abdominal distension. An upper gastrointestinal study demonstrated a narrow segment of the proximal jejunum with severely delayed passage of contrast media. Surgical exploration found a left paraduodenal hernia and subsequent narrowing of the herniated segment, which was managed by a segmental resection. The patient had an uneventful post-operative course and could regained healthy status within a month of treatment. [ABSTRACT FROM AUTHOR]