Acute Intestinal Obstruction
- The classical triad of symptoms include pain, vomiting and absolute constipation
- Abdominal distension occurs late, though it is a prominent symptom. Hernial orifices should always be examined for obstructed or strangulated hernia
- Visible peristalsis is diagnostic
- On palpation, muscle guarding is conspicuously absent
- Auscultation reveals accentuated bowel sounds
- X-ray abdomen in erect position shows multiple fluid levels
- Emergency laparotomy is warranted if conservative measures fail. A definitive procedure can be undertaken after confirmation of diagnosis and should be aimed at the cause.
Disclaimer: This guide is an educational reference for healthcare professionals. It does not replace clinical judgement — always follow your hospital's protocols and current guidelines.