Original Research Article
Year: 2021 | Month: September | Volume: 8 | Issue: 9 | Pages: 136-141
DOI: https://doi.org/10.52403/ijrr.20210919
A Descriptive Study of Clinical Presentation, Etiology and Management in Acute Mechanical Bowel Obstruction
Rajendra Prasad Bugalia1, Hariom Meena2, Sandeep Kumar3, Rajendra Mandia4
1Associate Professor, 23rd Year Resident, 32nd Year Resident, 4Senior Professor & HOD, Department of Surgery SMS Medical College, Jaipur, Rajasthan. India
Corresponding Author: Rajendra Prasad Bugalia
ABSTRACT
Background: Acute mechanical bowel obstruction is a common surgical emergency and a frequently encountered problem in abdominal surgery. It constitutes a major cause of morbidity in hospitals around the world and a significant cause of admissions to emergency surgical departments. Intestinal obstruction belongs to highly severe conditions, requiring a quick and correct diagnosis as well as immediate, rational and effective therapy.
Method: This is a prospective observational study which was carried on 130 patients of abdominal obstruction in the department of general surgery Sawai Man Singh Hospital Jaipur.
Results: The majority of patients in our study were 31-40 years of age group. Mostly patients were male account about 86.15%. Pain abdomen was the most frequent presenting symptoms (95.38%) and absence of passage of flatus and feces was next complain (89.23%). Nausea and vomiting was present in 84.62% of patients. Abdominal tenderness was the most common physical finding on clinical examination (96.92%). Abdominal distension was present in 81.54% patients. Adhesions and bands were the most prevalent etiology of obstruction in the small bowel obstruction (58.45%) and tumour and volvulus were the most common etiology in the large bowel (12.31%).
Conclusion: Intestinal obstruction is most commonly caused by intra-abdominal adhesions, Koch’s abdomen, malignancy and obstructed hernia. Conservative treatment with bowel rest and fluid resuscitation is successful in a variable proportion of patients. Patients with clinical degradation on assessment and radiological scans evoking ischemia or strangulated bowel obstruction need urgent surgery.
Keywords: Bowel Obstruction, Pain, Adhesions, Tumour.
[PDF Full Text]