Intestinal obstruction

Question 1

Clinical features

Answer 1

Vomiting - may be bilious or faecal
Abdominal distension
No bowel motions
Colicky abdominal pain

Question 2

Small bowel obstruction causes

Answer 2

Duodenal atresia (Down syndrome)
Malrotation with volvulus
Strangulated inguinal hernia
Meconium ileus (CF)

Question 3

Large bowel obstruction causes

Answer 3

Hirschprung’s (Down syndrome)

Inperforate anus/rectal atresia

Question 4

Management

Answer 4

Surgery