This is the case report of a patient who presented to us with a right inguino scrotal swelling which was red, tender and irreducible; other associated symptoms were fever, nausea and anorexia for the last 24 hours. Base line investigations showed leucocytosis. A diagnosis of strangulated inguinal hernia was made and the patient was operated through a right inguinoscrotal incision. An unusual presentation in the form of an inflamed appendix was found in the hernial sac which was adherent to the bowel loops. Appendectomy was performed and the gut loops reduced, followed by herniotomy and herniorraphy. The post-operative period was uneventful and the patient was discharged on the second post-operative day