Scrotal faecal fistula is a rare complication of incarcerated inguinal hernia. We report a case of a 54-year-old male, who presented fistula following prolonged incarceration of a left inguinal hernia (the presence of a caecum and vermiform appendix in a hernia sac). The patient presented himself to the emergency department with the diagnosis of a Fournier's gangrene. On second postoperative day after debridement of the scrotal fasciitis a enterocutaneous fistula in the scrotum was diagnosed as result of a strangulated inguinal hernia. The patient was treated by right hemicolectomy with an anastomosis and routine hernia repair was performed. Postoperative period was uneventful. The aetiology and management of this rare complication is discussed.