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Hernias of the posterior rectus sheath are a rarer type of interparietal hernia with only few cases reported up to date. Majority are postsurgical and posttraumatic. Clinical diagnosis may be challenging and imaging is often utilized for diagnosis. Computed tomography (CT) is the preferred imaging technique as it maps out the type, extent, contents, and associated complications. We report a case of posterior rectus sheath hernia with small bowel obstruction diagnosed on CT and managed successfully using laparoscopic primary repair.