Acute Intestinal Obstruction
Not yet clinically reviewed
This protocol was migrated from the earlier Pharmapedia and Ward Guide apps for educational use. Follow your hospital's own policies and consult seniors when in doubt.
- 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.