We report a rare case of a 46-year-old woman 2 weeks after a cesarean section with Pfannenstiel incision, who presented at the Emergency Department with a significant abdominal pain accompanied by two episodes of vomiting. After that a clinical examination and an abdominal computed tomography scan were completed, a visceral herniation through Pfannenstiel incision was suspected. The indication of surgical exploration was clear. Finally, the laparotomy revealed a linea arcuata hernia with a hernia of the small intestine. After a reduction of the hernia sac, the defect was repaired and no mesh was placed. An antibiotic treatment with co-amoxicillin for 1 week during the recovery was prescribed. The patient recovered uneventfully and could be discharged by postoperative day 7.