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colon obstruction
Etiology:
1) colon carcinoma is most common cause
2) volvulus
3) diverticulitis generally causes only partial obstruction
4) inflammatory bowel disease
5) benign tumors
6) fecal impactation
7) barium impactation
8) Hirschsprung's disease
Clinical manifestations:
1) see intestinal obstruction
2) vomiting is rare
Laboratory:
1) see intestinal obstruction
2) colonoscopy if diagnosis is in doubt & abdomen is non-surgical
Management:
1) see intestinal obstruction
2) endoscopy
a) dilation & decompression
b) laser fulguration
c) detorsion of volvulus
General
intestinal obstruction
References
- Saunders Manual of Medical Practice, Rakel (ed),
WB Saunders, Philadelphia, 1996, pg 337-38