title: Congenital internal hernia through defect in the falciform ligament in adult: A case report and review of the literature.
abstract: BACKGROUND
  The incidence of occlusion syndrome caused by internal hernia is very rare, in particular when the defect is congenital discovered in adults with no previous abdominal surgery.
  
  
  METHODS
  We present a case of a 31 year-old female patient who presented with acute abdominal pain and mechanical obstruction. The patient had never undergone abdominal surgery.
  
  
  CONCLUSIONS
  On diagnostic laparoscopy, it was found a herniation of a loop of small bowel through a hole in the falciform ligament. The obstruction was solved by the division of part of falciform ligament without intestinal resection.
  
  
  CONCLUSIONS
  Internal hernia is a very uncommon pathology, most often discovered in pediatric age because of congenital abnormalities, it must be included in the differential diagnosis in adults. Preoperative diagnosis is difficult. The diagnostic laparoscopic approach has shown to be the best.
authors.affiliation: University of study of Genoa (Italy) IRCCS, Largo Benzi 10, 16132 Genova, Italy. Electronic address: simona.macina@gmail.com.
authors.forename: Simona
authors.initials: S
authors.lastname: Macina
authors.affiliation: University of study of Genoa (Italy) IRCCS, Largo Benzi 10, 16132 Genova, Italy. Electronic address: ttesta@libero.it.
authors.forename: Tommaso
authors.initials: T
authors.lastname: Testa
authors.affiliation: University of study of Genoa (Italy) IRCCS, Largo Benzi 10, 16132 Genova, Italy. Electronic address: caty.losacco@gmail.com.
authors.forename: Caterina
authors.initials: C
authors.lastname: Losacco
keywords: Falciform ligament; Internal hernia