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INTESTINAL OBSTRUCTION Mudasir Bashir DIVISION OF SURGERY AND RADIOLOGY-IVRI
[object Object],[object Object],Intestinal Obstruction Mechanical Functional Intraluminal (foreign bodies) Intramural (tumors and  polyps)  Intussusception  Volvulus  Hypodynamic state (ileus) Strangulation/  incarceration Congenital
Clinical Signs ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
General signs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pathogenesis   Obstruction Bowel distention (increased secretion reduced absorption, hypomotility) Gas production, lack of absorption Progressive distention, fluid  accumulation, emesis Systemic dehydration Reduced venous return Poor tissue perfusion Obstruction of venules and  lymphatics in bowel wall Edema of bowel wall Ischaemia of bowel wall Necrosis of bowel wall Enterotoxemia  Death  Rupture of bowel wall Peritonitis
Sepsis and septic shock ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
Linear foreign body
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Intussusception-Radiographic trident appearance   Transverse   Longitudinal
Laparoscopy (Intestinal polyps)
Foreign bodies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tumors  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Polyps
Intestinal tumors
Intussusception  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Intussusception ant ileo-caeco-colic junction
Volvulus  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Intestinal volvulus
Intestinal volvulus
Congenital defects ,[object Object],[object Object],[object Object]
 
Ileus / Pseudo- obstruction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Strangulation / Incarceration ,[object Object],[object Object],[object Object],[object Object]
Causes of strangulation
Appearance of strangulated intestines in a horse suffering from colic
Intestinal Surgery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Enterotomy and Anastomosis
 
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Intestinal Obstruction, MUDASIR BASHIR