Paralytic ileus; Intestinal volvulus; Bowel obstruction; Ileus; Pseudo-obstruction - intestinal; Colonic ileus
Abdominal fullness, gas
Signs and tests
While listening to the abdomen with a stethoscope, your health care provider may hear high-pitched bowel sounds at the onset of mechanical obstruction. If the obstruction has persisted for too long or the bowel has been significantly damaged, bowel sounds decrease, eventually becoming silent.
Early paralytic ileus is marked by decreased or absent bowel sounds.
Tests that show obstruction include:
Abdominal CT scan
Upper GI and small bowel series
Alternative Names Intestinal necrosis; Ischemic bowel; Dead bowel; Dead gut Treatment Treatment usually requires surgery. The section of intestine that has died is removed, and the healthy remaining ends of bowel reconnected. In some cases, a colostomy or ileostomy is necessary. A blockage of arteries supplying the intestine is corrected if possible. Support Groups Expectations (prognosis) Intestinal ischemia is a serious condition that can result in death if not treated promptly. The outlook depends on the cause. A good outcome may be achieved with prompt treatment. Complications Intestinal infarction may require a colostomy or ileostomy, either temporary or permanent. Peritonitis is common in such cases. Severe illness with fever and bloodstream infection ( sepsis ) can result. Calling your health care provider Call your health care provider if you have any severe abdominal pain.
Alternative Names Intestinal necrosis; Ischemic bowel; Dead bowel; Dead gut Symptoms The hallmark of intestinal ischemia is abdominal pain. Other symptoms include: Diarrhea Fever Vomiting Signs and tests Laboratory tests may show a high white blood cell (WBC) count (a marker of infection) and increased acid in the bloodstream. Other tests include: Angiogram CT scan of the abdomen None of these tests are foolproof, however. Sometimes the only sure way to diagnose intestinal ischemia is with a surgical procedure.
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