Intestinal Obstruction, MUDASIR BASHIR

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]

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]

[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]

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]

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]

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]

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]

Intestinal Obstruction, MUDASIR BASHIR

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