Presence of appendix in an inguinal hernia is a rare entity and is known as Amyand’s hernia. Due to the normal anatomical location, amyand’s hernia is more common on right side, however the left sided amyand’s hernia is also noted. If the appendix is inflamed, appendectomy and herniorrhaphy is the rule. Here, we report a case of a 32 year old male, with left sided inguinoscrotal swelling since 6 months and pain over the swelling since 6 days. On history, patients had empty scrotum since childhood. Ultrasonography suggestive of testis in the right inguinal canal and left sided hernial sac with compromised vascularity of the testis. Intraoperatively, the non viable devascularized testis found at the deep ring. An indirect hernia was identified with the sac containing omentum and the illeoceacal junction with an inflamed appendix as the content. Patient underwent appendectomy, orchidectomy on left side and Bassini’s herniorrhaphy. Patient had an uneventful recovery.