A 59-year-old female presented to the emergency department with a 4-day history of left lower quadrant pain, loose stools, and nausea. Her past medical history was significant for type 2 diabetes mellitus, and obesity. She had a past surgical history significant for laparoscopic appendicectomy, laparoscopic cholecystectomy and a total abdominal hysterectomy with bilateral salpingo-oophorectomy. She had undergone an incisional paraumbilical hernia suture repair with novofil in 1995 and a repair via laparotomy for multiple midline incisional hernias in 2003, where a large preperitoneal nylon mesh was secured with 1–0 single loop nylon suture. Physical examination revealed a soft abdomen with tenderness in the left lower quadrant.