Abdominoscrotal hydrocele (ASH) in infancy is a rarely reported condit
ion. We present an 11-week-old infant who was born with massive scrota
l enlargement. At exploration, he was found to have large bilateral AS
Hs and bilateral fusiform testes. Gross morphologic testicular changes
associated with hydrocele have previously only been reported in adult
s. Our patient is the youngest to be reported with ASHs.