Neglected Incisional Hernia Becomes a Life-Threatening Emergency: A Case Report

Although complications are common following abdominal surgeries, the nontraumatic spontaneous rupture and obstruction with skin gangrene of an incisional hernia leading to bowel evisceration is unusual. This report describes the case of a 40-year-old female with a long-standing incisional hernia that presented as a spontaneous evisceration of an obstructed bowel with evidence of skin rupture and gangrene. She was managed with an emergency laparotomy with myofascial anterior component separation and onlay mesh repair.