PATTERN OF SMALL BOWEL OBSTRUCTION IN ADULTS
Keywords:
Small intestinal, obstruction, Adhesion, Tuberculosis, Hernias, wound sepsisAbstract
Objectives: To compare and discuss the various pattern of causes of small intestinal obstruction.
Materials and Methods: This descriptive study was carried out in surgical unit Hayatabad Medical Complex Peshawar
from July 2006 to December 2007. Fifty-four adults with age range of 15-70 years were included. All had Laparotomy
for small bowel obstruction.
Results: There were 23 cases of adhesions and bands, 13 cases of abdominal tuberculosis, 10 cases of inguinal and
femoral hernias, 3 cases of ileocaecal tumours, 3 cases of worm infestation and two cases of intussusception.
Complication occurred in 21(38.8%) patients. Wound infection was the commonest in them. Mortality was 6%.
Conclusion: Adhesions and bands are more frequent causes of small bowel obstruction.
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