Post-Op Adhesion SBO in Middle-Aged Woman
Work through the assessment and early management of mechanical bowel obstruction: interpret plain film findings, decide when conservative measures are enough, and recognise the red flags that demand urgent surgical escalation.
Presentation
A 52-year-old woman with a prior laparoscopic appendectomy presents with a 24-hour history of severe crampy periumbilical pain radiating in waves, bilious vomiting, and inability to pass gas or stool.
Learning goals
- Identify classic clinical and radiological features of adhesive small bowel obstruction in a patient with prior abdominal surgery
- Initiate appropriate early management including nasogastric decompression, IV fluid resuscitation, and surgical consultation
- Recognise must-not-miss features of strangulation or perforation that require immediate operative intervention
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Post-Op Adhesion SBO in Middle-Aged Woman
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