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A hydrocele is a collection of fluid in the space surrounding the testicle between the layers of the tunica vaginalis. Occasionally the scrotal hydrocele may extend through the inguinal canal, deep inguinal ring, and into the abdomen as an abdominoscrotal hydrocele. Traditionally, abdominoscrotal hydrocele have been evaluated and diagnosed with US. However if a relationship between the abdominal mass and the hydrocele is not clearly defined by sonography, the traditional modality for imaging the abdomen and the scrotum such as CT or MRI, should be considered because it can be difficult to clearly delineate the anatomy and the full extent of the abnormality. We present a rare case of a giant hemorrhagic abdominoscrotal hydrocele in a 24 year old man that required an elective operative laparotomy for complete excision of the abdominolscrotal mass.

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