Large bowel obstruction Flashcards
1
Q
Causes
A
Colorectal cancer
Benign stricture
Volvulus
Hernias
2
Q
Clinical features
A
Gradual development Abdominal distension (cramping) Absolute constipation Abdominal pain - colicky, intermittent Vomiting Tinkling bowel sounds Palpable mass possibly ?
3
Q
Investigations
A
AXR supine
CT scan
4
Q
Management
A
IV fluids
Operate
Stent
Nil by mouth
5
Q
Sigmoid volvulus - cause
A
Bowel twists on mesentery
This blocks lumen and blood supply
6
Q
Sigmoid volvulus - investigations (and findings)
A
AXR - coffee bean shape
7
Q
Sigmoid volvulus - management
A
Surgical resection
Stent
Flatus tube
8
Q
Sigmoid volvulus - who gets it
A
Elderly patients
9
Q
Pseudo-obstruction - what is it
A
No real obstruction
Mimics large bowel obstruction
10
Q
Pseudo-obstruction - who gets it
A
Elderly
Debilitated
