MAYDL__ampersandsignrsquo;S HERNIA (hernia-in-W) is one of the rare presentations of strangulated inguinal hernias in adults. Its incidence is reported to be between 0.6-1.92 % of all strangulated hernias [1-3]. Two or more loops of bowel lie in the hernia sac but it is the intervening loop, within the abdomen, that is most severely affected, hence the term hernia-in-W. This case report presents one such case of a Maydl__ampersandsignrsquo;s hernia. The Intraoperative finding of a strangulated intra-abdominal loop of jejunum with normal jejunum loops in the hernia sac eventually led to the diagnosis of Maydl__ampersandsignrsquo;s hernia. Jejunum as a content of Maydl__ampersandsignrsquo;s hernia has not been reported in literature available.