Abdominoscrotal or pelviscrotal hydroceles are fluid collection in the tunica vaginalis that extend from the scrotum into the lower abdominal cavity through the inguinal canal. Fourteen cases are reported; eleven cases were unilateral, and the other three were bilateral. Their age ranged from 6 to 24 months. Diagnosis was based on clinical examination in most cases and confirmed by ultrasound examination. One case was diagnosed intraoperatively. Surgical excision was performed through a generous inguinal incision in all cases. Although rare, abdominoscrotal hydroceles can present unexpectedly to the paediatric surgeon, or may mimic abdominal swelling in infancy and childhood such as massive hydronephrosis or bladder diverticulum(1). Literature of abdorninoscrotal hydrocele and various theories are discussed.