Abdominoscrotal hydrocele: A case report of a young adult treated with laparoscopy

Abdominoscrotal hydrocele (ASH) is a rare condition characterized by interconnected abdominal and scrotal components, resembling the appearance of an hourglass, which can occur in both pediatric and adult populations. Although its pathophysiology remains incompletely elucidated, it involves an increase in fluid pressure within the tunica vaginalis, resulting in the progression of fluid along the inguinal canal towards the abdomen and the formation of an abdominal sac. Due to the potential for various complications such as hydronephrosis and lymphedema in the leg secondary to compression effects, early surgical intervention is generally recommended. The presentation aims to demonstrate a case of ASH successfully managed through laparoscopic excision.