The Emergency Department calls you to see a 16-yr old boy with cerebral palsy who suddenly developed a very large left hydrocele. He has a remote history of scoliosis surgery, as well as a Nissen fundoplication and gastrostomy tube placement. On exam, you find a large left hydrocele, and a distended tense abdomen. You obtain the abdominal films shown.
What is your suspicion and how do you proceed?
What is your suspicion and how do you proceed?
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