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A study of small bowel obstruction with reference to clinical presentation – etiology and management

Authors:Aachi Srinivas, K. Maheshwary
Int J Biol Med Res. 2014; 5(4): 4597-4602  |  PDF File

Abstract

50 cases of small bowel obstruction were studied in Osmania General Hospital, Hyderabad. Clinical features age incidence, sex ratio, presentations, investigations and emergency surgical modalities of treatment were studied. The diagnosis of mechanical bowel obstruction (MBO) was based on symptoms such as abdominal pain, vomiting, abdominal distension and constipation. Majority of the patients were in the 3rd and 4th decades of life. The male and female ratios were 68% and 32% respectively. Plain x-ray abdomen and ultrasonography of abdomen are the investigations of choice. All the cases between 14-90 years were included in the study. The common causes of small bowel obstruction in this study were adhesions (42%), external hernias (16%) and small bowel volvulus (12%). Emergency exploratory laprotomy was performed in all the cases. The commonest operation performed was adhesionolysis.The mortality in this study was 12% (6 deaths) and is due to late presentation after 48 hrs.