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Clinical features of large bowel obstruction

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Adults present quite late with vomiting, weight loss and appetite loss. They may complain of colicky abdominal pain.

Signs include:

  • succussion splash
  • dehydration
  • mass due to the tumour, either in the epigastrium or in the lymph nodes
  • hepatomegaly:
    • caused by metastases in the liver
    • presents late as an uncomfortable or painful mass
  • vomiting:
    • occurs relatively late
    • the vomitus is feculent

Reference

  1. Association of Surgeons of Great Britain and Ireland; Royal College of Surgeons of England. Commissioning guide: emergency general surgery (acute abdominal pain). April 2014 [internet publication].

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