Abdominoscrotal hydrocele--is there a place for conservative management?

Abdominoscrotal hydrocele (ASH) is an uncommon entity. It consists of large inguinoscrotal swelling which is dumbbell shaped, and in theory, communicates with its intra-abdominal component. Although various theories have been proposed, the aetiology is still unclear. To date, the only reported management is by surgical excision. Spontaneous resolution has not been documented in the literature. We present a case of proven abdominoscrotal hydrocele successfully managed by conservative approach.