Simple Obstruction

Monday, March 31, 2008 · Posted in

[Causes pathological]
Obstruction more simple reason for the tumor and inflammation narrow minority of elderly stool for obstruction. Most parts obstruction sigmoid colon and the rectum is regional.
[Clinical]
Abdominal distention, abdominal pain and constipation are the main clinical symptoms, nausea and vomiting for minor symptoms. See physical abdominal distention, abdominal compression is still under soft, no obvious tenderness, and anti-Tao Tong, and occasionally can be mass.
[Imaging performance]
Due to various reasons are simple colonic obstruction intestinal obstruction above and the expansion of effusion, and expand the colon to the proximal colon cavity (from the beginning of the rectum) Obviously, the point of obstruction of the colon near the cavity became smaller, standing films that on both sides of a more lenient abdominal fluid in the pelvic or-see-generous allocation, supine films that expand the colon Commelina benghalensis-like cavity and a half months with mucosal fold cavity wall to enter into and not connecting with the opposite wall, Unlike the jejunal mucosa wrinkle wall. Sometimes, because of the proximal colon obstruction inflatable expand, gas will be beautiful to see the lumen stenosis or obstruction of soft tissue mass kind of direct video features. X-ray can see inflatable expanded the small intestine, but the degree of expansion of the colon than a lighter. Proximal colon obstruction to the main fluid will be misdiagnosed as low small-bowel obstruction, even sigmoid colon obstruction, and if mainly to the lack of contrast effusion, also easily lead to misdiagnosis. At this point should stand perspective, hepatic flexure observed rotational position, inflatable splenic flexure has expanded and inflatable expanded lumen bags, it has not colon lumen of the Trans-wrinkle wall stripes, the judge has important significance of colonic obstruction.
Barium enema (generally with low concentration) to clear the site of obstruction, obstruction and even the nature of obstruction. So for the guitar in the diagnosis of intestinal obstruction, most patients will do dilute barium enema examination clear reasons.
[Diagnosis]
Small bowel obstruction and simple to identify.

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