Unusual case of falciform ligament internal hernia in pregnancy

Acute abdomen in pregnancy poses various diagnostic challenges due to limitations in imaging modalities. It can be due to an obstetric or non-obstetric cause. Internal hernia through congenital defects is rare. Although internal hernia is not prevalent in pregnancy, it is increasing nowadays due to previous surgical defects in the mesentery and peritoneal folds. We report an unusual case of an internal hernia through a defect in the falciform ligament in a pregnant female where imaging findings helped in timely surgical intervention.