Small bowel obstruction is a partial or complete blockage of the small intestine, which is a part of the digestive system. Small bowel obstruction can be caused by many things, including adhesions, hernia and inflammatory bowel disorders. Symptoms, diagnosis and treatment are discussed.


T 36.5 P 63 BP 163/96 RR 20 SpO2 98% RA. Your differential at this point includes cholecystitis, biliary colic, pancreatitis, or gastritis. You decide to perform a RUQ ultrasound. You do not find any gallstones in the RUQ, though incidentally you find several dilated loops of bowel. Could it be a small bowel obstruction?

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Symptoms, diagnosis and treatment are discussed. Other findings that are most significant and predictive of high-grade SBO, according to experienced gastrointestinal radiologists (, 7), are the presence of more than two air-fluid levels, air-fluid levels wider than 2.5 cm, and air-fluid levels differing more than 2 cm in height from one another within the same small bowel loop (, Fig 2) (, 7 non-obstructive causes of abdominal pain 7; small bowel obstruction caused by a phytobezoar, usually necessitating surgery 4,5; Practical points. Detection of the small bowel feces sign should prompt you to: look for possible bowel dilatation and/or distal collapse 6,7; distinguish it from phytobezoar (rare), using lung windows and length Clinical Issues. Clinical findings of SBO include crampy abdominal pain, distention, vomiting, and high-pitched or absent bowel sounds.

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SBO's, or soil based organisms are essential for a healthy digestive system. SBO consumption was quite common when, prior to the 19th century, people ate foods crisp from the fields and farm gardens.

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