PMC3198609_01
A plain abdominal X-ray shows small bowel intestinal obstruction.
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Plain abdominal radiology revealed typical features of low-mechanical small bowel obstruction with numerous gas-fluid levels (Figure 1).
Herniating loop of terminal ileum in internal hernia, formed by adhesion of the gubernaculum of the right intra-abdominal testis to the terminal small bowel loop.
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We performed urgent laparotomy through a right transverse supraumbilical incision that revealed an ischemic loop of terminal small bowel herniating below an intra-abdominal testis residing freely in the peritoneal cavity, with its gubernaculum adherent to the terminal ileum (Figure 2).
Relocation of the mobilized right testis to the scrotum via a small inguinal crease incision.
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The testis was viable and of normal size and could be brought down and fixed to the scrotum utilizing additional small inguinal creases and scrotal incisions (Figure 3). 