Acute abdominal wall rupture with visceral herniation due to blunt traumas and bowel incarceration or perforation are generally rare phenomena. Such hernias tend to occur at anatomically weak spots in the lateral and lower abdominal wall.

A 24-year-old man with event of falling down from third floor was brought to Emergency Department of Hazrat Rasul Akram hospital. On Focused Assesment with sonography in trauma FAST examination there was fluid in the hepato-renal space and abdominal wall hematoma, as it seemed in the physical examination. The patient underwent midline laparotomy and 100cm of his small bowel was nonviable.

Traumatic Abdominal Wall Hernia TAWH, although uncommon, is associated with significant rate of morbidity and mortality in cases of delayed diagnosis and intervention. Early intervention leads to a significantly better outcome.