A Clinical Study on Acute Intestinal Obstruction
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 2
Abstract
Introduction: Intestinal obstruction is one of the common acute abdominal emergencies in surgical practice. Early recognition and prompt intervention can prevent irreversible ischemia and thereby decrease the mortality and long-term morbidity. The most common causes of intestinal obstruction are post-operative adhesions and hernias. Aims and Objectives: To study the incidence and various etiology of intestinal obstruction, the various modes of presentation, the importance of early diagnosis and management, the role of imaging studies in determining the site and etiology and the mortality rate and the morbidity rate in acute intestinal obstruction. Materials and Methods: This study was conducted at Government Tirunelveli Medical College and Hospital. It is a descriptive study that included 100 patients who were diagnosed to have acute intestinal obstruction based on clinical, biochemical, and radiological features. The patients who are managed conservatively without surgical intervention are excluded. Results: Among the total number of patients admitted with acute intestinal obstruction large intestine obstruction was found in 17 cases and small intestine obstruction was found in 83 cases. Obstructed inguinal hernia was the most common cause of acute intestinal obstruction. Conclusion: Acute intestinal obstruction remains to be one of the common surgical emergencies. Males are commonly affected mostly during their fi fth decade. Obstructed/strangulated inguinal hernia remains to be the most common cause followed by adhesions. They usually present with abdominal pain with multiple air-fl uid levels in their X-ray abdomen erect view. Earlier diagnosis and timely intervention are associated with excellent prognosis.
Authors and Affiliations
S Bethsy Priscilla, Irene Aruna Edwin, M Gobinath, V M Arvindraj, Heber Anandan
Keywords
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