Abdominoscrotal hydrocele (ASH) is a variant of hydrocele rare to occur in adults. ASH has two sacs, one in the scrotum and one in the abdomen connected through the inguinal canal. Abdominoscrotal hematocele is a rare complication of ASH. We present a 57-year-old male patient, presented to us in August 2019 to JIPMER, Puducherry, India, with complaints of swelling in the scrotum for 15years and abdominal pain for two months. Both the swellings were soft, and cross fluctuation was present. Imaging confirmed the diagnosis of ASH. We did diagnostic laparoscopy, and the abdominal sac was decompressed and found to have thick brownish fluid suggestive of hematocele. We could demonstrate that both sacs were connected. Due to difficulty in the dissection of the sac, the procedure was converted to an open procedure. Both the sacs were excised, and Lytle’s repair was done for the dilated internal ring.

Abdominoscrotal hydrocele (ASH) is a variant of hydrocele rare to occur in adults. ASH has two sacs, one in the scrotum and one in the abdomen connected through the inguinal canal. Abdominoscrotal hematocele is a rare complication of ASH. We present a 57-year-old male patient, presented to us in Aug...