Bowel Obstruction

  • Jack Pickleman


A 73-year-old woman presents to the emergency room with a 4-day history of crampy abdominal pain, distention, and obstipation. Examination discloses a tympanitic abdomen with high-pitched bowel sounds and with no tenderness or peritoneal signs present. The temperature is 37.4°C and the white blood cell count is 6300 cells/mm3. Abdominal X rays and a barium enema are performed and are shown as Figures 5–1 and 5–2. Proctoscopy reveals a fungating neoplasm 22 cm from the anus. Treatment should consist of:
  1. A.

    Insertion of a rectal tube.

  2. B.


  3. C.

    Celiotomy, sigmoid resection, and anastomosis.

  4. D.

    Celiotomy, sigmoid resection, and end sigmoid colostomy.

  5. E.

    Transverse colostomy.



Bowel Obstruction Barium Enema Sigmoid Resection Transverse Colostomy Rectal Tube 
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Copyright information

© Springer Science+Business Media New York 1982

Authors and Affiliations

  • Jack Pickleman
    • 1
  1. 1.Loyola University Stritch School of MedicineMaywoodUSA

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