Subcolectomy associated with pelvic distraction showed to be effective for this case of megacolon correction and obstipation
associated with post-traumatic stenosis of the pelvic girdle.
However, only 69 (39%) patients had obstipation
. For these four cardinal features of SBO, sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) were calculated.
The patient reported a history of initial non-bloody diarrhoea with mucus, followed by obstipation
In addition, the patient had obstipation
and postprandial vomiting for three days.
A more common restrictor, however is high intra-abdominal pressure caused by ascites, "third spacing" of fluid during sepsis, post-operative abdominal surgical changes, obstipation
If conservative management with observation and bowel rest fails, or the patient complains of severe abdominal pain, vomiting, nausea, obstipation
, or signs and symptoms of peritonitis, such as the patient in Case 3, immediate surgical intervention is necessary.
If untreated, the condition can proceed to obstipation
, a more stubborn fecal impaction that can require prolonged hospitalization and more elaborate therapy--for example, manual removal of hardened fecal matter from an anesthetized dog's colon.
Patient detailed past history of intermittent abdominal distension, obstipation
, irritability, poor feeding and copious non-projectile, non-bilious emesis since one week of age.
A 34-year-old man with no history of previous abdominal surgery or external hernias presented with a 7-day history of abdominal distension, peri-umbilical cramping pain, left-sided pleuritic chest pain and subsequent obstipation
Diagnosis and management in children with severe and protracted constipation and obstipation
. Journal of Pediatrics, 62, 261-275.
The most plausible explanation for the distended proventriculus, assuming the bird was not PDD-positive, was enlargement due to chronic obstipation
We selected 72 patients presenting with suspicion of malignancy (unexplained body weight loss and chronic fatigue associated with chronic rectal hemorrhage and/or intermittent obstipation
, hemoptysis, and/or pathognomonic aspect of tumoral development on chest radiographs).