Mechanical Bowel Obstruction

Medium urgency
-Moderately severe

Intestinal obstruction is a total or partial blockage of the intestinal lumen that interferes with normal passage through the intestine.

Mechanical causes include the presence of scar tissue after surgery, foreign bodies, gallstones, hernias, faecal impaction, insertion of one bowel segment into another, tumours, bowel torsion, etc.

Its manifestations are a clinical picture of pain and abdominal distension. In the majority of cases this is usually associated with nausea and vomiting, bad breath, constipation or diarrhoea and sometimes an inability to pass wind.

Diagnosis requires a detailed clinical history, a full physical examination, blood tests and diagnostic imaging.

Treatment requires good hydration, a strict diet, the insertion of a catheter from the nose to the stomach or intestine, and the possibility of administering antibiotics and/or surgery.

Bibliographic references
  1. Daniel Dante Yeh, Liliana Bordeianou. Overview of mechanical colorectal obstruction. UpToDate. Aug 31, 2015.
  2. Sule AZ, Ajibade A. Adult large bowel obstruction: a review of clinical experience. Ann Afr Med 2011; 10:45.
  3. Markogiannakis H, Messaris E, Dardamanis D, et al. Acute mechanical bowel obstruction: clinical presentation, etiology, management and outcome. World J Gastroenterol 2007; 13:432.
  4. Hayakawa K, Tanikake M, Yoshida S, et al. Radiological diagnosis of large-bowel obstruction: nonneoplastic etiology. Jpn J Radiol 2012; 30:541.
  5. Danny O. Jacobs. Obstrucción intestinal aguda. Harrison. Principios de Medicina Interna. Volumen 2. 19º Edición. 1981:1985.
  6. Cristina López González, Angélica Mira Vázquez, Ángel Blanco Bravo. Obstrucción intestinal. Manual de protocolos y actuación en urgencias. Hospital Virgen de la Salud, Complejo Hospitalario de Toledo. Tercera edición. 2010. 481:483
Author
Dr. Oscar Garcia-Esquirol
Copyright
© TeckelMedical 2026

Symptoms

    Total absence of stools


    Increase in abdominal size


    Intermittent intense abdominal pain


    Defecates less than three times a week - constipation


    Vomiting

Pre-hospital care recommendations

Maintain hydration of 2 litres per day.