A rare consequence of incisional hernia is spontaneous rupture. There isn't much literature to support it. A postponement of surgery can result in gangrene of the bowel and further morbidity. Mesh repair versus anatomical repair is still up for dispute. We are presenting a malnourished patient who had eviscerated bowel for 10 hours following an episode of vomiting. As a result of prompt therapy, we were able to avoid resection anastomoses, mesh was not indicated, and postoperative outcomes were excellent with no cough impulse.