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Conditions/Bowel Obstruction & Adhesions/Chapter

Detailed chapter

Bowel Obstruction Diagnosis

Exam and imaging

Diagnosis combines clinical findings with imaging. Contrast-enhanced CT is commonly used; plain films may be an early step. Labs support assessment of dehydration, infection, or ischemia—but no single test guarantees bowel viability.

Diagnosis · imaging · English labels below

Key points

  • Physical exam
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    Distension, tenderness, bowel sounds, prior scars, and hernia orifices—including groin and umbilicus.

  • CT and other imaging
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    CT shows level, cause, closed loop, tumor, hernia, and ischemia clues. Water-soluble contrast follow-through may help selected adhesive cases.

  • Laboratory support
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    Electrolytes, lactate, white count—support suspicion but do not replace clinical monitoring.

  • Why serial reassessment?
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    An initially ‘stable’ film can progress—pain, vitals, and exam trend matter.

This page is for education. It is not medical advice and does not replace a visit with your physician.

Medical editor: Assoc. Prof. Cengiz Dibekoğlu, MD · Last medically reviewed: August 2026 · English patient-education chapter.