Supporting Hours : Monday to Saturday - 8am to 10pm
New Visit

Ileus

 Syn. postoperative ileus , Functional obstruction , POI

Signs & Symptoms

 Persistent pain
Ref: Uptodate [ Postoperative ileus]
Abdominal pain
Ref: Uptodate [ Postoperative ileus]
Early lack of bowel sounds
Ref: Uptodate [ History and physical examination in adults with abdominal pain] Harrison [ 2296] Cecil [ 846]
Diffuse pain
Ref: Uptodate [ Postoperative ileus]

Physical Examination

 Abdominal distension
Ref: Uptodate [ Small bowel obstruction: Clinical manifestations and diagnosis] Harrison [ 2296]
Early lack of bowel sounds
Ref: Uptodate [ History and physical examination in adults with abdominal pain] Harrison [ 2296] Cecil [ 846]
Mild diffuse tenderness
Ref: Uptodate [ Postoperative ileus]

Lab / Serology

 Hemoconcentration suggests dehydration
Ref: Uptodate [ Postoperative ileus]
Hypokalemia
Ref: Uptodate [ Small bowel obstruction: Clinical manifestations and diagnosis]

Imagin Study

 Diffusely dilated air-filled bowel loops
Ref: Harrison [ 255]
Radiograph reveal Dilated loops of bowel
Ref: Uptodate [ Postoperative ileus] Harrison [ 255]
Radiograph reveal paucity of colonic gas
Ref: Uptodate [ Postoperative ileus]

Complication

Risk Factors

 Sepsis
Ref: Epocrates [ https://online.epocrates.com/diseases/99532/Ileus/Risk-Factors]
Myocardial infarction
Ref: Epocrates [ https://online.epocrates.com/diseases/99532/Ileus/Risk-Factors]
Pancreatitis
Ref: Epocrates [ https://online.epocrates.com/diseases/99532/Ileus/Risk-Factors]

Cause

Other