INTRODUCTION: Incisional hernias are abnormal peritoneal outward pouch–like protrusions that develop due to defects that arise as a result of the disruption of the fascia‘s continuity after abdominal surgery. Subcutaneous herniation of the left lobe of the liver passing through the abdominal wall is a very rare condition. CASE REPORT: A 49year old male patient presented with complaints of swelling in the midline of abdomen since 1year duration. The swelling had increased to its present size over the past 1 year. swelling is not associated with pain, vomitings or fever. swelling appeared after 1 month of laparotomy surgery done for hollow viscus perforation 13months back. During transabdominal ultrasound (US) and Computed tomography (CT) scan revealed a fascial defect in midline abdominal wall hernia defect with protrusion of the left hepatic lobe and an intestinal segment. CONCLUSION: In this case report, we presented a rare case of the subcutaneous protrusion of the left liver lobe‘s medial segment through the fascial defect in the incisional hernia. We suggest that when performing operations on incisional hernias it should be kept in mind that the left liver lobe may be under the skin and therefore one should be careful not to damage it.