Inguinal hernia and femoral hernia are quite common in females. Urinary bladder wall or diverticulum of urinary bladder can be found as a content in femoral hernia but incarceration and rupture of urinary bladder with simultaneous inguinal hernia with strangulated incarcerated ileal loop is a very rare occurrence. We are presenting here a such case in an elderly lady with 85 years age. She had left strangulated inguinal and left strangulated femoral hernia. Strangulated inguinal hernia had incarcerated ileal loop and strangulated femoral hernia had ruptured incarcerated wall of urinary bladder probably this is first such case in world literature.