(c) Abdominal radiographs in upright position showing large bowel obstruction
A provisional diagnosis of large bowel obstruction
and acute renal failure was established.
Large bowel obstructions
present a challenging clinical scenario for the physician in the diagnosis, operative management, and the timing of colonic surveillance.
Large bowel obstruction
due to sesame seed bezoar: a case report, J Med Case Reports.
Comparison of colonic stenting and open surgery for malignant large bowel obstruction
. Surg Endosc 2007; 21: 225-233.
As the third most common cause of large bowel obstruction
after diverticulitis and malignancy, volvulus is a life threatening condition that must be considered in any patient presenting with an acute abdomen.
The Association of Coloproctology of Great Britain and Ireland study of large bowel obstruction
caused by colorectal cancer.
Similarly, large bowel obstruction
had an 89% PPV for nonresectability versus 64% for small bowel resection.
Approximately 2 weeks later, she presented to the same hospital complaining with symptoms of abdominal distention and pain and was ultimately diagnosed with a large bowel obstruction
. Due to her quick debilitating medical condition she was brought to the operating room and underwent a transverse diverting loop colostomy.
Other causes for SBO including malignancy, volvulus, postoperative ileus (within 1 month), inflammatory bowel disease, large bowel obstruction
, hernia, radiation-related obstruction, and Meckel's diverticulum were excluded [8-11].
Now with better understanding of pathophysiology, improvement in radiological techniques of diagnosis, high degree of refinement in correction of fluid and electrolyte imbalance, introduction of antibiotics for effective bacteriological control, introduction of techniques in gastrointestinal decompression, new surgical principles, as in large bowel obstruction
, introduction of on-table lavage, and resection and primary anastomosis, has replaced staged procedures and number of days in hospital stay.
Caecal perforation is a life-threatening complication of large bowel obstruction
with a competent ileocaecal valve.