We report a case of intestinal perforation due to manual reduction of incarcerated inguinal hernia. Explorative laparotomy was delayed and first attempted after 21 hours. The patient died as a result of peritonitis. If conservative treatment of incarcerated inguinal hernia is considered, this should be done with caution. When successful, possibility of reduction of non-vital organ should be eliminated. Patient must be informed about symptoms and risks, otherwise hospitalisation can be considered.