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Clinical features of large bowel obstruction

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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