Unusual presentation of bilateral abdominoscrotal hydrocele in a child

An 18-month-old boy who had bilateral abdominoscrotal hydroceles presented with an acute inflammation of the left hydrocele followed 1 week later by similar spontaneous inflammation of the right side. He was treated with excision of both hydrocele sacs. A review of the literature shows that this is the first report of an abdominoscrotal hydrocele presenting in this unusual fashion.