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The term "paraduodenal hernia (PDH)" refers to a herniation of the entire/partial small bowel into a sac derived from folds of peritoneum and fossae normally found at the terminal or 4th portion of the duodenum. It is rare, having variable presentation, and the severity of symptoms/signs is directly proportional to the degree of obstruction. We present three cases of paraduodenal hernias presenting in emergency with signs of with acute intestinal obstruction. Here we attempt to re-evaluate the representative features of PDHs, and to highlight the perioperative complications and management strategies that surgeons need to be aware of. [ABSTRACT FROM AUTHOR]