Peri-inguinal hernias are rare defects of ventral lateral abdominal wall, just above the inguinal region. These hernias are due to congenital defects of internal oblique and transverse muscles. Since their rarity and the complex anatomy of the region, their correct classification is still debated. It is possible to make diagnosis by clinical examination; imaging can help the physician to recognize this rare pathology. The Authors describe a case of strangulated peri-inguinal hernia, that required urgent surgery.