Background: Strangulation is the most serious complication of inguinal hernia. Diverticulitis, a common condition, is usually localized in the left colon. The association of complicated inguinal hernia and diverticulitis is rare. Methods: We report the case of a 73-year-old male patient who presented with a suspicion of strangulated inguinal hernia. Results: CT and operative findings showed transverse colon diverticulitis lodged in an incarcerated inguinal hernia without signs of strangulation. Surgical hernia repair was undertaken while the treatment of diverticulitis was conservative. Follow-up was uneventful. Conclusion: This is a first report of documented transverse colon diverticulitis simulating inguinal hernia strangulation.
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