ABSTRACT Many forms of inguinal hernias have been found to have different contents ranging from abdominal to pelvic organs. A form of inguinal hernia with its contents made up of almost the whole of the small intestine and having a herniating sac as long as 28cm in length is indeed a rare form of inguinal hernia. Strangulated inguinal hernia is one of the commonest emergencies in surgery. The diagnosis may be made by physical examination disclosing a visible bulge or an easily palpable mass on straining with an examining finger in the external ring, the content of the hernia sac and the operation may vary. We present a rare case of a strangulated unusual left indirect inguinal hernia in a 56-year-old male cadaver with a large mass containing loops of small intestine which extends from the pubic tubercle to the mid thigh and found within the scrotal sac. Knowledge of the existence of an irreducible scrotal hernia can help in the recovery of sexual function after scrotal hernia repair.