The most frequent benign tumour of the female reproductive system is leiomyoma. Although found primarily in the uterus, it can also be found in unusual sites such as the ovary and broad ligament. In extremely rare circumstances, the anterior abdominal wall can form a nidus for these lesions. Females who have previously undergone laparoscopic uterine procedures are more likely to develop them. Given the rarity, they often provide diagnostic difficulties for operating surgeons and are frequently misdiagnosed as intra-abdominal cancer. We discuss the case of a 47-year-old woman who experienced cyclical abdominal pain and was diagnosed with an anterior abdominal wall leiomyoma, which was removed laparoscopically in its entirety, resulting in complete symptomatic resolution.