Diagnosaurus
Obstruction of large intestine
Obstruction of large intestine is a topic covered in the Diagnosaurus.
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Etiology
- Mechanical colonic obstruction, eg, malignancy, diverticulitis, volvulus, fecal impaction
- Toxic megacolon due to inflammatory bowel disease or C. difficile colitis
- Megacolon due to Chagas’ disease, Hirschsprung’s disease (aganglionic), multiple sclerosis, sacral nerve damage, myxedema (hypothyroidism)
- Chronic intestinal pseudo-obstruction
- Acute colonic pseudo-obstruction (Ogilvie’s syndrome), associated with:
- Trauma, burns, or postoperative
- Respiratory failure
- Malignancy
- Myocardial infarction or congestive heart failure (CHF)
- Pancreatitis
- Stroke or subarachnoid hemorrhage
- Intestinal ischemia
- Drugs, eg, opioids, anticholinergics
-- To view the remaining sections of this topic, please sign in or purchase a subscription --
Etiology
- Mechanical colonic obstruction, eg, malignancy, diverticulitis, volvulus, fecal impaction
- Toxic megacolon due to inflammatory bowel disease or C. difficile colitis
- Megacolon due to Chagas’ disease, Hirschsprung’s disease (aganglionic), multiple sclerosis, sacral nerve damage, myxedema (hypothyroidism)
- Chronic intestinal pseudo-obstruction
- Acute colonic pseudo-obstruction (Ogilvie’s syndrome), associated with:
- Trauma, burns, or postoperative
- Respiratory failure
- Malignancy
- Myocardial infarction or congestive heart failure (CHF)
- Pancreatitis
- Stroke or subarachnoid hemorrhage
- Intestinal ischemia
- Drugs, eg, opioids, anticholinergics
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Last updated: December 1, 2014
Citation
Zeiger, Roni F.. "Obstruction of Large Intestine." Diagnosaurus, 4th ed., McGraw-Hill Education, 2014. Emergency Central, emergency.unboundmedicine.com/emergency/view/Diagnosaurus/114488/all/Obstruction_of_large_intestine.
Zeiger RF. Obstruction of large intestine. Diagnosaurus. McGraw-Hill Education; 2014. https://emergency.unboundmedicine.com/emergency/view/Diagnosaurus/114488/all/Obstruction_of_large_intestine. Accessed April 1, 2020.
Zeiger, R. F. (2014). Obstruction of large intestine. In Diagnosaurus (4th edition). McGraw-Hill Education. Retrieved April 01, 2020, from https://emergency.unboundmedicine.com/emergency/view/Diagnosaurus/114488/all/Obstruction_of_large_intestine
Zeiger RF. Obstruction of Large Intestine [Internet]. In: Diagnosaurus. McGraw-Hill Education; 2014. [cited 2020 April 01]. Available from: https://emergency.unboundmedicine.com/emergency/view/Diagnosaurus/114488/all/Obstruction_of_large_intestine.
* Article titles in AMA citation format should be in sentence-case
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