Obstruction of normal intestinal flow from mechanical or nonmechanical causes
Small-bowel obstruction (SBO):
20% of acute surgical admissions
Adhesions: Most common cause (60%)
Previous surgery, malignancy, hernias, colonoscopy history, significant family history
Intermittent when early
Symptoms may be vague in elderly or alter...
0.9% normal saline (NS) or lactated ringers (LR) IV f...
Carefully examine patient with history of vomiting for incarcerated hernias.
Failure to diagnose strangulated bowel obstruction:
Symptoms potentially vague in very old and very young...
Batke M. Cappell MS. Adynamic ileus and acute colonic pseudo-obstruction. Med Clin North Am. 2008;92(3):649–670.
Diaz JJ Jr, Bokhari F, Mowery NT, et al. Guidelines for ma...
560.9 Unspecified intestinal obstruction
560.81 Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection)
560.89 Other specified intestinal obstruction
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