Laparoscopy Assisted Open Repair of Bilateral Abdominoscrotal Hydrocele in 8 Months Old Baby—Rare Case Report

Bilateral Abdominoscrotal Hydrocele (ASH) is very rare in children and difficult to suspect on clinical examination. Abdominoscrotal hydrocele (ASH) is very unusual presentation of scrotal hydrocele with dumbbell-shaped extension intra abdominally through deep inguinal ring either communicating to peritoneal cavity or non-communicating. No theory can explain exact development of ASH though many theories have been proposed in literature. An abdominoscrotal hydrocele is a congenital pathology involving a scrotal hydrocele expanding through the inguinal canal and reaching the abdominal cavity (pars abdominalis). A simple hydrocele is commonly diagnosed clinically, where as an abdominoscrotal hydrocele is rare and should be differentiated from other cystic lesions of the abdominal cavity in children.