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Mechanical damage of
the peritoneal and
intestinal serosa
following abdominal
surgery
Damaged mesothelial
cells cause flow of
proinflammatory
mediators (cytokines)
towards area
Proinflammatory
cytokines increases
blood vessel
permeability
Extravasation of
serosanguine liquid in
abdominal cavity
Extravasated fibrogen
escapes blood vessels
Fibrin develops as
influenced by
thrombokinase
Fibrin forms loose
three- dimensional
networks. Fibrinous
exudate causes
adjacent surface to
stick together
(premature adhesions)
Constant presence of
trauma or ischemia in
the intestine prevent
fibrinolysis
(degradation of fibrin)
Decrease in
plasminogen activity
Mucoploysaccaride,
collagen and
tropocollagen from
fibroblasts strengthens
the existing adhesions
Abdominal
distention & Build up of gas and
Obstipation obstructed food causes
bowel distention
Excess in unconjugated
Jaundice bilirubin leaks out and
enters systemic circulation
LABORATORY WORK-UPS
Doctor will ask To confirm a CT scan may show if An air or barium When an intestinal
for medical diagnosis of combines a you have an enema is basically obstruction occurs in
history. Doctor intestinal series of X- infection, or enhanced imaging of children, ultrasound
will also obstruction, ray images if you are the colon that may be is often the preferred
perform your doctor taken from dehydrated. done for certain type of imaging
physical exam may different Dehydration suspected causes of
by observing recommend angles to can develop obstruction.
the abdomen an abdominal produce when your
or listening for X-ray. cross- intestines
bowel sounds However, sectional cannot
some images. absorb liquid
intestinal properly.
obstructions
Intestinal
Obstruction
If Treated
If Untreated
Decreasing GFR
SHOCK
Hypovolemic/Septic
Prognosis:
GOOD
Symptoms of shock leads to a
systemic damage throughout the
body
Renal failure
DEATH