Open AccessAn incisional hernia develops in the scar of a surgical incision. Spontaneous rupture of an abdominal hernia is very rare and usually occurs in incisional or recurrent groin hernia. This is a report of 50-year-old female who presented with sudden spontaneous rupture of an incisional hernia. This hernia was repaired by mesh repair after repositioning the bowel into the peritoneal cavity and excising the excess atrophied skin. The patient recovered well and was discharge after the 4th day. Spontaneous rupture of abdominal hernia is a very rare complication. It is a potentially fatal but preventable clinical condition and should be managed by primary repair if there is only minimal contamination and by secondary repair if grossly contaminated.