An Abdominoscrotal hydrocele is a rare clinical entity in which there is a large hydrocele that extands from the scrotum into abdominal cavity through the inguinal canal in dumbbell shaped . Abdominoscrotal condition usually affecting children. It is unusual to find an abdomino–scrotal hydrocele in middle aged adult. Most of the patients are asymptomatic except cystic abdominal mass and discomfort occasionally. We hereby report an unusual presentation of abdomino–scrotal hydrocele at age of 54 years and presenting as large cystic abdominal mass extending into scrotum.