Abstract Incarceration of sessile fibroids in an incisional her-nia is uncommon and can cause pain and discomfort. Very few cases have been reported in the literature but none in our region in women in the postmenopausal period. We present an uncommon case of a 57-year-old primipara with a previous history of caesarean section and a laparotomy on account of adhesive intestinal obstruction. She presented with lower ab-dominal swelling and abdominal pain since 7 years. She had surgical removal of the mass and total abdominal hysterecto-my with mesh repair of the incisional hernia. Histology of the resected hernia content revealed leiomyoma. Abdominal wall fibroid is a good differential diagnosis to be considered in any woman with an anterior abdominal mass and previous uterine surgery, including caesarean section