CLINICAL STUDY OF MISCELLANEOUS CAUSES OF INTESTINAL OBSTRUCTION
Introduction- Acute intestinal obstruction is one of the most common surgical emergencies.
Miscellaneous causes of bowel obstruction needs to be evaluated thoroughly.
Aims and Objectives- Pre- operative diagnosis (Predicting rare differential diagnosis as causes) of intestinal obstruction and timely intervention to reduce postoperative morbidity and mortality
Methods - A retrospective observational study of 124 cases of intestinal obstruction from June 2018 to November 2020 by examining previous clinical records in terms of Clinical presentations, Laboratory investigations , Radiological investigations, Operative procedures, and Post operative outcomes was done. Out of 124 cases 40 cases were managed conservatively and were excluded from study. Out of remaining 84 cases 20 cases presented with unusual causes of intestinal obstruction on laparotomy.
Results- 20 rare causes of intestinal obstruction in our study were namely 2 Paraduodenal hernia, 2 foreign body(phytobezoars) obstruction of ileum, 1 - obstruction by worm infestation , 6 cases of volvulus ,1 gall stone ileus , 1 meconium plug syndrome ,and ,1 case of obstructed obturator hernia,1 case of Meckel’s Diverticulum with Ileocolic Intussusception,5 with varied presentation of abdominal koch’s.
Conclusion- It is important to consider these rare causes of intestinal obstruction as an important treatable cause of obstruction .
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