Chapter: Medicine and surgery: Gastrointestinal system

Pseudo obstruction - GI presentations

A rare condition in which symptoms suggest obstruction but where no obstruction is present. - Definition, Incidence, Aetiology, Pathophysiology, Clinical features, Complications, Investigations, Management, Prognosis.

Pseudo-obstruction

 

Definition

 

A rare condition in which symptoms suggest obstruction but where no obstruction is present. The condition is seen following major respiratory or renal disease and/or after major trauma.

 

Clinical features

 

Symptoms are similar to those of intestinal obstruction, with distension and tinkling bowel sounds.

 

Investigations and management

 

Abdominal X-ray reveals gas extending to the rectum, which may be useful to differentiate from true obstruction. It is managed conservatively, any underlying cause should be identified and treated.

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Medicine and surgery: Gastrointestinal system : Pseudo obstruction - GI presentations |


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