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Bowel Obstruction - Coggle Diagram
Bowel Obstruction
Small bowel obstruction
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high lesions present soon after birth, lower ones may present after a no of days
causes
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intussusception
part of intestine slides into adjacent part of intestine, 'telescoping'
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Large bowel obstruction
Hirshprung disease
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narrow contracted segment extending from rectum proximally for a variable distance, ending in a normally innervated but dilated colon
75% confined to rectosigmoid, 10% involves entire colon
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rectal exam may reveal narrow segment + withdrawal of finger resulting in gush of liquid stool + flatus
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anorectal manometry or barium studies may be useful in giving surgeon an indication of length of aganglionic segment, but unreliable for dx purposes
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rectal atresia
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in high lesions a fistula can occur with bladder, urethra or vagina
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