The article describes the case of a 75-year-old man with clinically irreducible left-sided indirect inguinal hernia. Highlights include large collection of fluid extending from the upper abdomen to the left scrotal compartment according to sonography, displacement of the gastroduodenal junction into the hernia and constriction of the gastric antrum in the area of the hernial orifice, and how the patient's symptoms were primarily relieved.