Bowel obstruction and perforation Questions with correct answers.

Bowel obstruction and perforation Questions with
correct answers
What are the causes of bowel obstruction? Correct Answer- - adhesions
- hernias
- malignancy
- volvulus
- diverticular disease
- strictures
- intusussception


What are adhesions? Correct Answer- - pieces of scar tissue that bind
the abdominal contents together
- cause kinking or squeezing of the bowel which lead to obstruciton


What are the causes of adhesions? Correct Answer- - abdominal or
pelvic surgery (particularly open surgery)
- peritonitis
- abdominal or pelvic infections (e.g., pelvic inflammatory disease)
- endometriosis


What is a closed loop obstruction? Correct Answer- - closed-loop
obstruction describes a situation where there are two points of
obstruction along the bowel

, - meaning that there is a middle section sandwiched between two points
of obstruction.


When can a closed loop obstruction occur? Correct Answer- -
adhesions
- hernias
- volvulus
- iliocaecal valve


What occurs in a closed loop obstruction? Correct Answer- - bowel
will expand and there will be ischaemia and perdoration


What is the presentations of bowel obstruction? Correct Answer- -
vomiting (particularly green bilious vomiting)
- abdominal distention
- diffuse abdominal pain
- absolute constipation and lack of flatulence


What is heard on auscultation with a bowel obstruction? Correct
Answer- - "Tinkling" bowel sounds may be heard in early bowel
obstruction


What is the investigations for an obstruction? Correct Answer- - X-ray