pontaneous rupture of the abdominal wall hernia is very rare and usually occurs in an incisional and recurrent groin hernia [1]. Despite our awareness of many causative factors and improvements in the surgical techniques and materials, iatrogenic abdominal wall hernia formation remains a significant problem in an abdominal wall surgery. An incisional hernia is known to occur in 11-23% of laparotomies [2].Commoner complications of such hernias include pain, discomfort, skin changes, bowel obstruction, incarceration, and strangulation. These tend to reduce the overall quality of life. Spontaneous rupture with the evisceration of a gut in an incisional hernia is very rare but represents a real surgical emergency. These hernias are of particular concern for their high recurrence rates and the challenges associated with their repair [3]. We report rupture of a large incisional hernia with the evisceration of small bowel in a 56-year-old female. DISCUSSIONAccording to most reports in Nigeria, the most common abdominal surgery leading to an incisional hernia was cesarean ABSTRZCT Spontaneous rupture of the abdominal wall hernia is very rare and usually occurs in incisional and recurrent groin hernias. Here, we report the case of rupture of a large incisional hernia with the evisceration of small bowel in a 56-year-old female. This surgical emergency was successfully managed using the current standard tension-free prosthetic mesh.
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