This paper presents a case study of an existing wastewater rising main (WWRM) in which an extreme transient event produced by simultaneous power failure of the pumps caused the rupture of a 1.2 m (48 in) prestressed concrete cylinder pipe (PCCP), causing an important leakage of sewage. The event and the methodology followed in order to validate the diagnostics of the failure are described. The detail study included in situ observation of the system, experimental investigation in a setup, hydraulic analysis, as well as details of the structural strength of the WWRM. After the extensive investigation and several simulations of fluid transients for different scenarios and flow conditions, it was found that stationary small gas pockets accumulated at high points of the WWRM were identified as the principal contributory factor of the failure. This case study serves as clear warning of the consequences of operating a WWRM with gas pockets at its high points.