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Intestinal obstruction - Symptom

Alternative Names

Paralytic ileus; Intestinal volvulus; Bowel obstruction; Ileus; Pseudo-obstruction - intestinal; Colonic ileus

Symptoms:

Signs and tests:

While listening to the abdomen with a stethoscope your health care provider may hear high-pitched bowel sounds at the onset of mechanical obstruction. If the obstruction has persisted for too long or the bowel has been significantly damaged, bowel sounds decrease, eventually becoming silent.

Early paralytic ileus is marked by decreased or absent bowel sound.

Tests that show obstruction include:

Digestive system

Ileus - X-ray of distended bowel and stomach

Ileus - X-ray of bowel distension

Intussusception - X-ray

Volvulus - X-ray

Small bowel obstruction - X-ray

Small bowel resection - series

Reviewed last on: 7/23/2008
Jacob L. Heller, MD, Emergency Medicine, Virginia Mason Medical Center, Seattle, Washington, Clinic. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Evers, BM Small Intestine. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 18th ed. St. Louis, Mo: WB Saunders; 2008:chap 48.

Fry RD, Mahmoud N, Maron DJ, Ross HM, Rombeau J. Colon and rectum. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 18th ed. St. Louis, Mo: WB Saunders; 2008:chap 50.

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