A 50-year-old white man presented to the emergency department with a chief complaint of worsening right inguinal pain and swelling for 3 days. He denied any past medical or surgical history. His examination revealed that he had a fever and tachycardia; his right groin was edematous with overlying skin erythemic and tender to superficial palpation. Laboratory test results were significant for a white blood cell count of 18 000/μL (to convert to ×109 per liter, multiply by 0.001). Prior to surgical consultation, a computed tomographic scan was performed (Figure 1). In the operating room, a laparoscopic exploration confirmed the diagnosis (Figure 2).