A Rare Case of Multiloculated Omental Cyst Herniating into the Scrotal Sac Presenting as Left Gross Hydrocele

A BSTRACT Omental cysts are rare, particularly in children. They are often lymphatic in origin and seldom present as hydroceles. Due to nonspecific clinical signs, most are diagnosed incidentally during surgery. We report the rare case of a 6-month-old male with left scrotal swelling since birth. Intraoperatively, a multiloculated omental cyst was identified extending into the scrotum. The cyst was completely excised, and histopathology confirmed a benign omental cyst. This case highlights an unusual presentation of omental cysts and the importance of considering abdominal causes in pediatric scrotal swellings.