Bowel Obstruction
Bowel Obstruction
Small bowel obstruction | Large bowel obstruction | |
Clinical | ||
Symptoms * the four cardinal symptoms of bowel obstruction are: - vomiting - colicky abdominal pain - constipation - abdominal distension | Less distension, vomiting occurs earlier, pain is higher in the abdomen | More distension, vomiting occurs later and feculent, pain is lower in the abdomen |
Radiologic features | Small bowel features: Valvulae conniventes – folds that cross the lumen completely Normal features of small bowel: - No more than 3 mm wall thickness - Generally no more than 3 air fluid levels - No more than 3 cm diameter | Large bowel features: Haustrations: incomplete crossing of folds across the lumen |
3,6,9 rule | Maximal normal diameter in small bowel 3 cm Maximal normal diameter in large bowel 6 cm Maximal normal diameter in cecum 9 cm | |
In colorectal Carcinoma Left sided tumors: generally presented with altered bowel habit, blood or mucus PR, mass PR Right sided tumors: generally presented with weight loss, anemia, less obstructive symptoms |
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