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Fibroid is the commonest benign tumour of uterus seen in women of reproductive age group. There have been case reports of pedunculated fibroid presenting as a content of hernial sac but herniation of intestinal loops through anterior abdominal wall due to pressure effect of a large fibroid resulting in strangulation and gangrene has rarely been reported. Here we report the case of a 32-year-old infertile woman, who underwent emergency Laparotomy and resection anastomosis of a strangulated small intestinal umbilical hernia which resulted due to pressure effect of a large subserous uterine fibroid.