What is adhesive ileus in children?

summary

Adhesive ileus in children is a kind of intestinal obstruction caused by adhesion or cord compression between intestinal loops, other organs and peritoneum. It is closely related to abdominal surgery and abdominal infection. The chance of reoccurrence of intestinal obstruction increases with the increase of the number of operations. Therefore, non-surgical treatment should be given first. Correct dehydration and electrolyte disorder, blood transfusion if necessary, improve the general situation. So, how to diagnose and differentiate adhesive intestinal obstruction in children?

What is adhesive ileus in children?

Abdominal pain is one of the earliest manifestations. Abdominal pain is mainly caused by intestinal obstruction, enlargement of proximal intestinal cavity and strong contraction of intestinal wall. Abdominal pain is very acute in the early stage of strangulated intestinal obstruction, and shock may occur in some cases. Abdominal pain accompanied by vomiting.

Abdominal distension high obstruction only upper abdominal distension, lower abdominal distension is more obvious. The bowel type and peristaltic wave can be seen, and the auscultation of bowel sounds is hyperactive, showing metallic sound or hydroponic sound. High obstruction vomiting early, for green water, low obstruction vomiting later, containing feces. We should keep this knowledge in mind.

Non defecation obstruction can initially discharge the stool accumulated in the distal end of the obstruction, and then no longer defecate and exhaust. Due to frequent vomiting, loss of a large amount of digestive juice, inability to eat and fever, the patient gradually developed dehydration acidosis. Strangulated ileus begins with severe dehydration.

matters needing attention

Adhesive ileus in children is a kind of intestinal obstruction caused by adhesion or cord compression between intestinal loops, other organs and peritoneum. It is closely related to abdominal surgery and abdominal infection. The chance of reoccurrence of intestinal obstruction increases with the increase of the number of operations. Therefore, non-surgical treatment should be given first.