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A number of diseases present with swollen and tender scrotum. The differential diagnostician such a case includes testicular torsion, epididymitis, epididymoorchitis (EO), and a scrotal abscess . A scrotal pyocele is an uncommon [1,2] complication in the present times especially in a patient with no other pre-existing comorbidities and a short history of just a week. We discuss here one such case of Scrotal pyocele which is unique in its presentation as the patient had complete inguinoscrotal involvement which clinically mimicked an obstructed inguinal hernia. Radiology images suggested a multiloculate collection and surgical exploration confirmed it to be a multi-cystic pyocele consisting of 5-6 large, tense, pus filled cavities.