No history of abdominal surgery Analysis of intestinal obstruction.doc

 PAGE \* MERGEFORMAT 10 No history of abdominal surgery Analysis of intestinal obstruction Keywords: intestinal obstruction Common diseases of abdominal surgery for intestinal obstruction, abdominal adhesions after surgery as the major cause of intestinal obstruction [1], but no surgical history of abdominal obstruction, the reason is more difficult to judge. Our hospital from June 2003 to June 2008 admitted no history of abdominal surgery patients 82 cases of intestinal obstruction by surgery or colonoscopy confirmed 66 cases to be the cause, now its causes are discussed below. A clinical data 1.1 General Information The group of 66 cases, 49 cases were male and 17 females, aged 16 to 92 years (mean 52 years). The main symptoms and signs: abdominal pain 64 cases (96.8%); 59 cases of abdominal distention (89.4%); 55 cases of anal exhaust end defecation (83.3%); X ray see flatulence or liquid level 59 cases (89.4%). Onset to diagnosis, either explicitly or operation time 6h ~ 22d (an average of 3.8d). 1.2 obstruction causes Tumor in 27 cases (24 cases of colorectal cancer, 2 cases of advanced gastric cancer, pancreatic cancer late 1 case), persimmon stone bezoar in 6 cases, 3 cases of gallstone ileus, incarcerated hernia (pre-hospital or hospital immediately incarcerated hernia was found except) 6 cases, 3 cases of adult intussusception, sigmoid colon torsion in 3 cases, adhesive intestinal obstruction in 6 cases, superior mesenteric vein thrombosis in 3 cases, fecal accumulation of block in 4 cases, secondary peritonitis intestinal paralysis (surgery prior to discovery or Initial findings suggested that reasons other than peritonitis) 4 cases of Meckel’s diverticulum caused by cable with volvulus in 1 case. Pre-treatment diagnosis of clear or almost clear 33 cases, 33 cases of exploratory laparotomy diagnosis. 1.3 Treatment Non-surgical treatment in 9 cases, including the tumor in 5 cases, fecal accu