I,O

1. Intestinal Obstruction
By
Dr.Muntather Ali

2. Any condition
interferes with
normal
propulsion
and passage of
intestinal
contents.

6. clinical features
Cardinal clinical features of acute bowel obstruction
Pain
Distension
Vomiting
Absolute constipation

7. Others
Dehydration
Hypokalemia (due to strangulation)
Pyrexia
Tenderness

8. Location of obstruction
duration of obstruction
Underlying pathology
Presence or absence of intestinal ischemia
Clinical features vary according to

9. Jejunum
Valvulae conniventes
Ileum
the distal ileum featureless
Large bowel
Haustral folds
Caecum
Rounded gas shadow in the right iliac fossa

11. For optimal treatment to be instituted, five questions
must be answered:
• Is the diagnosis intestinal obstruction?
. Is the obstruction is mechanical?
• What is the level of obstruction?.
• Is there evidence of bowel wall ischemia or
perforation?.
• How sever is the associated systemic disorders?