Inguinal hernia stands as a prevalent surgical concern, often addressed either through elective procedures or as emergencies by surgeons. The indirect hernia has high propensity to bowel obstruction due to narrow constrictive ring. Direct hernia is comparatively safe from complications owing to the larger defect. Busoga hernia (BH), alternatively referred to as Gill-Ogilvie hernia, represents a seldom-seen variation of direct inguinal hernia affecting the conjoint tendon. This hernia type arises due to a weakness in the conjoint tendon and tends to manifest more frequently among young athletes. Some authors described herniation in the weakened conjoint tendon secondary to rigorous training, kicking, running and sharp turn. Busoga hernia (BH) represents an uncommon subtype of direct inguinal hernia, characterized by a heightened risk of strangulation of its contents. This risk is attributed to an exceptionally narrow neck under constant tension within a resilient fascial sling. BH may migrate into labia majora in female and rarely migrate to the scrotum in male. We encountered a case involving a male patient aged 64 years who arrived with a small painful inflammation in his right groin. Surgical exploration under general anesthesia, revealed a 1cm defect in the medial aspect of the conjoint tendon. Subsequent procedures included herniotomy and herniorrhaphy, wherein the hernial contents consisted of pre-vesical fats and a portion of the urinary bladder. Surgeons must possess a thorough understanding of the anatomy of the inguinal region to effectively manage situations with confidence. The postoperative recovery period progressed satisfactorily with good outcomes. Patient is under regular follow up.