Hydrocele is among the commonest inguinal anomalies in children. One of its most unusual variants is the abdominoscrotal hydrocele, of which no more than 22 cases have been reported in the world literature. The present case is the first one in our country. In this patient the coexistence of small bilateral scrotal hydrocele and cystic abdominal mass at the right side is described. Abdominoscrotal hydrocele is an unusual cause of lower abdominal cystic tumour in association with an inguinoscrotal hydrocele in infancy.