04 March 2026
: Case report 
Internal Hernia Through the Pars Flaccida: A Rare Intraoperative Finding
Unknown etiology, Challenging differential diagnosis, Management of emergency care, Rare disease, Educational Purpose (only if useful for a systematic review or synthesis), Rare coexistence of disease or pathology
Anibal La Riva
ABCDEF 1*, Valentin Mocanu ABCEF 1, Mélissa V. Wills ABE 1, Salvador Navarrete ABCEF 1
DOI: 10.12659/AJCR.951154
Am J Case Rep 2026; 27:e951154
Video 1 Laparoscopic repair of pars flaccida internal hernia. 0: 00–0: 08 – Title slide; 0: 09–0: 23 – Introduction slide; 0: 24–0: 46 – Case presentation slide; 0: 47–1: 18 – CT scan clip; 1: 19–1: 57 – Initial laparoscopic entry and systematic exploration of the abdomen revealing abnormal small bowel position anterior to the stomach, identification of key anatomical structures, including the stomach, pars flaccida defect within the lesser omentum, and herniated small-bowel loops; 1: 58–2: 43 – Gentle reduction of herniated small-bowel loops, tracing the bowel course to identify the hernia entry point through the pars flaccida. Completion of the reduction of herniated bowel with mesentery lying flat; 2: 44–3: 24 – Closure of the pars flaccida defect using running 2-0 Ethibond suture with meticulous attention to tissue handling; 3: 25–3: 36 – Conclusion slide; 3: 37–3: 43 – Final slide.