We have reported a case of left paraduodenal hernia diagnosed with preoperative CT. A 58-year-old man admitted our hospital with a severe abdominal pain. Blood examination revealed no abmonal findings. Plain X-ray examination of the abdomen showed niveau in the left upper abdomen and a light mass lesion. CT showed well-circumscribed bowel loops and edematous mesenterium. These findings suspected left paraduodenal hernia. The hernia content consisted of the small intestine about 150 cm in length was reduced easily. The hernia orifice was closed. Fifty one cases have been reported in Japan from 1902 to 1998. The diagnosis of paraduodenal hernia was obtained preoperatively in only 7 cases. CT findings may be useful for giagnosis of paraduodenal hernia.