Introduction: Despite the relatively high incidence of blunt trauma, traumatic abdominal wall hernia remains relatively rare. Many of the cases reported in literature involve children following handlebar type injuries. Advancing surgical techniques have stimulated much debate with regards to management of such hernias. Case Report: An unusual case of a 59-year-old patient presenting to our emergency department following a road traffic accident suffering from such a hernia is reported here. After appropriate investigation, abdominal exploration was undertaken and a primary mesh repair of the hernia was undertaken, with good result. A discussion of literature pertinent to the infrequent trauma senario is presented. Conclusion: Traumatic abdominal wall hernias in adults are a rare entity and, in the absence of significant intra-abdominal injury, may be repaired electively.