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Depending on the level of obstruction, bowel obstruction can present with abdominal pain, abdominal distension, and constipation.Bowel obstruction may be complicated by dehydration and electrolyte abnormalities due to vomiting; respiratory compromise from pressure on the diaphragm by a distended abdomen, or aspiration of vomitus; bowel ischemia or perforation from prolonged distension or ...
A minimal acute obstructive series (for the purpose of ruling out small bowel obstruction) includes two views: typically, a supine view and an upright view (which are sufficient to detect air-fluid levels), although a lateral decubitus could be substituted for the upright.
Signs and symptoms of DIOS include a sudden onset of crampy abdominal pain, vomiting, and a palpable mass (often in the right lower quadrant) in the abdomen.The characteristic abdominal pain is typically located in the center or right lower quadrant of the abdomen. [1]
The length of the small intestine can vary greatly, from as short as 3 metres (10 feet) to as long as 10.5 m (34 + 1 ⁄ 2 ft), also depending on the measuring technique used. [3] The typical length in a living person is 3–5 m (10– 16 + 1 ⁄ 2 ft). [4] [5] The length depends both on how tall the person is and how the length is measured. [3]
An anatomic lead point (that is, a piece of intestinal tissue that protrudes into the bowel lumen) is present in approximately 10% of intussusceptions. [5] The lead point (best exemplified by a polyp) serves as a focal area of traction, which the peristaltic action pulls into the distal bowel, thus invaginating the attached bowel segment. [6]
It may occur in chronic obstruction of stool transit, as in megacolon [10] and chronic constipation. Some diseases, such as Chagas disease, Hirschsprung's disease and others damage the autonomic nervous system in the colon's mucosa (Auerbach's plexus) and may cause extremely large or "giant" fecalomas, which must be surgically removed ...
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It is also possible to look at other organs that could be affected by the obstruction, like the biliary tree and pancreas. [2] When afferent loop syndrome first manifests, the abdominal midline is often crossed by a fluid-filled tubular formation that lies between the super mesenteric artery and the aorta .