The diagnosis of colonic obstruction
作者:
Richard Jackson,
期刊:
Diseases of the Colon & Rectum
(OVID Available online 1982)
卷期:
Volume 25,
issue 6
页码: 603-609
ISSN:0012-3706
年代: 1982
出版商: OVID
关键词: Obstruction, colonic, causes of;Diagnosis, differential
数据来源: OVID
摘要:
&NA;The most common cause of colonic obstruction is adenocarcinoma, followed by diverticulitis, volvulus, and a variety of miscellaneous causes. Most signs and symptoms, from whatever cause, consist of abdominal pain with distention and the inability to pass flatus or stool. The clinical diagnosis is confirmed by x‐ray studies. Plain films of the abdomen in various positions, chest films, and the addition of contrast studies verity the cause of the obstruction in most instances. The differentiation between neoplasm and diverticulitis causing the obstruction can be difficult or impossible at times, and may become apparent only after the obstruction begins to resolve with conservative management, or the cause is discovered at surgery. The history of previous abdominal or pelvic irradiation, surgery, and inflammatory bowel disease often causes difficulty in the differential diagnosis.
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