small intestinal obstruction
TRANSCRIPT
Atresia
• Atresia – congenital obstruction due to complete occlusion
• Stenosis – partial intraluminal occlusion
•Due to mesenteric vascular occlusion
•Single or multiple
Meconium Ileus
Abnormal intestinal secretions
Thick and viscid forming pellets causing obstruction of ileum
Simple or complicated
Clinical features
• Bilious vomiting
• Gross abdominal distention with visible bowel loops
• Failure to pass meconium
Plain X ray abdomen
Atresia : Grossly dilated bowel Multiple airfluid levels
Meconium Ileus : Soap bubble appearance
Complicated MI : Calcification
Treatment
• Correct fluid & electrolyte imbalance first
• Surgery-• Laparotomy • Resection & anastomosis