Rapid Review: Small Bowel Obstruction

Small Bowel Obstruction

  • Causes: adhesions (pelvic surgery) > tumor > hernia (inguinal)
  • Proximal: bilious vomiting 
  • Distal: feculent vomiting
  • High pitched bowel sounds
  • X-ray: dilated bowel, air-fluid levels, “stack of coins” or “string of pearls” sign
  • Modality of choice: CT
  • NGT, surgery

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