52 years old | Male
A 52-year-old man undergoes an elective sigmoid resection with primary colorectal anastomosis for chronic diverticulitis. The operative course is routine. Postoperatively, he starts on a clear-liquid diet and receives morphine via patient-controlled analgesia pump. On the second postoperative day, he has a distended abdomen, is nauseated, and has not passed flatus. He vomits repeatedly and requires nasogastric decompression. Abdominal x-ray shows uniform small bowel distention with some air in the colon.
chronic diverticulitis | Postoperatively | abdominal surgery | distended abdomen | nauseated | no passed flatus | vomits repeatedly | nasogastric decompression | uniform small bowel distention | some air in the colon
Ileus
https://online.epocrates.com/diseases/99522/Ileus/Common-Vignette
Rank |
Disease |
Weight |
---|---|---|
1 | Ruptured ectopic pregnancy | 353.0 |
2 | Gastroparesis | 352.0 |
3 | Sigmoid volvulus | 344.0 |
4 | Intestinal Obstruction | 325.0 |
5 | Hereditary Angioedema | 292.0 |
6 | Giardiasis | 280.0 |
7 | Ileus | 273.0 |
8 | Ovarian Cancer | 236.0 |
9 | Premenstrual syndrome | 234.0 |
10 | Acute Pancreatitis | 219.0 |
11 | Gastric Outlet Obstruction | 212.0 |
12 | Ovarian Hyperstimulation Syndrome | 201.0 |
13 | Foreign body ingestion | 194.0 |
14 | Lactose intolerance | 189.0 |
15 | Acute peptic ulcer | 188.0 |
16 | Dyspepsia | 185.0 |
17 | Acute intermittent porphyria | 181.0 |
18 | Liver disease | 180.0 |
19 | Gastritis | 173.0 |
20 | Mesenteric ischemia | 169.0 |
21 | Bacterial pharyngitis | 166.0 |
22 | Abdominal compartment syndrome | 164.0 |
23 | Acute Appendicitis | 162.0 |
24 | Intestinal Pseudo Obstruction | 162.0 |
25 | Ovarian Torsion | 161.0 |
26 | Food poisoning | 160.0 |
27 | Ectopic Pregnancy | 155.0 |
28 | Alcoholic Liver Disease | 152.0 |
29 | Intussusception | 151.0 |
30 | Hiatus hernia | 151.0 |
31 | Pyogenic Liver Abscess | 150.0 |
32 | Diverticulitis | 148.0 |
33 | Irritable Bowel Syndrome | 145.0 |
34 | Biliary cirrhosis | 145.0 |
35 | Liver Cirrhosis | 145.0 |
36 | Alcoholic hepatitis | 141.0 |
37 | Gallstone pancreatitis | 140.0 |
38 | Klebsiella pneumoniae liver abscess | 139.0 |
39 | Acute perforated appendicitis | 136.0 |
40 | Toxic Megacolon | 136.0 |
41 | Gastric Volvulus | 133.0 |
42 | Alcoholic Liver Cirrhosis | 133.0 |
43 | Celiac Disease | 133.0 |
44 | Acute Cholecystitis | 128.0 |
45 | Meckel diverticulum | 128.0 |
46 | Ascites | 127.0 |
47 | Inguinal hernia | 125.0 |
48 | mucosal Eosinophilic gastroenteritis | 122.0 |
49 | Travelers diarrhea | 120.0 |
50 | Muscle Layer Eosinophilic gastroenteritis | 119.0 |
51 | Emphysematous cholecystitis | 118.0 |
52 | Umbilical hernia | 118.0 |
53 | Gallstones | 117.0 |
54 | Leiomyomas | 117.0 |
55 | Kidney stones | 116.0 |
56 | Migraine headache in adults | 113.0 |
57 | Crohn Disease | 112.0 |
58 | Primary biliary cirrhosis | 112.0 |
59 | Systemic sclerosis | 112.0 |
60 | Clostridium difficile infection | 107.0 |
61 | Peutz-Jeghers Syndrome | 107.0 |
62 | Sialadenitis | 106.0 |
63 | Intraperitoneal bleeding | 106.0 |
64 | Non-ST-elevation myocardial infarction | 102.0 |
65 | Primary sclerosing cholangitis | 102.0 |
66 | Choledocholithiasis | 100.0 |
67 | Type 1 Diabetes mellitus | 100.0 |
68 | Acute Liver Failure | 99.0 |
69 | Gastric cancer | 98.0 |
70 | Acute fatty liver of pregnancy | 98.0 |
71 | Intra-abdominal abscess | 97.0 |
72 | Adrenal crisis | 97.0 |
73 | Osteoporosis | 96.0 |
74 | Gallbladder cancer | 95.0 |
75 | Liver Abscess | 90.0 |
76 | Amebic Liver Abscess | 90.0 |
77 | Alcoholic Fatty Liver | 90.0 |
78 | Autoimmune hepatitis | 90.0 |
79 | Anthrax | 90.0 |
80 | Diabetes Mellitus | 89.0 |
81 | Tuberculous Peritonitis | 88.0 |
82 | Acute Lymphoblastic leukemia in children | 88.0 |
83 | Rocky Mountain spotted fever | 88.0 |
84 | Urinary Tract Obstruction | 83.0 |
85 | Acute pyelonephritis in adults | 83.0 |
86 | Spontaneous bacterial peritonitis | 82.0 |
87 | Painless thyroiditis | 82.0 |
88 | ST-elevation myocardial infarction | 80.0 |
89 | Ulcerative Colitis | 79.0 |
90 | Intestinal malrotation | 79.0 |
91 | Acetaminophen overdose | 76.0 |
92 | Addison Disease | 76.0 |
93 | Cholangiocarcinoma | 75.0 |
94 | Peptic Ulcer | 75.0 |
95 | Gallbladder Dyskinesia | 74.0 |
96 | Thrombotic thrombocytopenic purpura | 72.0 |
97 | pancreatic cancer | 71.0 |
98 | Analgesic nephropathy | 71.0 |
99 | Chronic Pancreatitis | 70.0 |
100 | Brucellosis | 69.0 |
101 | Chronic heart failure | 68.0 |
102 | Exocrine pancreatic insufficiency | 68.0 |
103 | Motion Sickness | 68.0 |
104 | Duodenal Ulcer | 66.0 |
105 | Gastric Ulcer | 66.0 |
106 | Hyperparathyroidism | 66.0 |
107 | Chronic pelvic pain in women | 66.0 |
108 | Non-cholera Vibrio infections | 66.0 |
109 | Acute Clonorchiasis | 65.0 |
110 | Acute Hepatitis | 65.0 |
111 | Sphincter of Oddi Dysfunction | 65.0 |
112 | biliary SOD | 65.0 |
113 | pancreatic SOD | 65.0 |
114 | Aseptic meningitis | 65.0 |
115 | Hemolytic uremic syndrome | 64.0 |
116 | Inflammatory Bowel Diseases | 63.0 |
117 | Systemic lupus erythematosus | 62.0 |
118 | Migraine | 62.0 |
119 | Henoch-Schonlein purpura | 61.0 |
120 | Type 2 Diabetes mellitus | 61.0 |
121 | Pyelonephritis | 61.0 |
122 | Familial Mediterranean fever | 60.0 |
123 | Campylobacter infection | 60.0 |
124 | Choledochal Cyst | 60.0 |
125 | Foodborne E coli infection | 59.0 |
126 | Pancreatic Pseudocyst | 59.0 |
127 | Hepatocellular carcinoma | 59.0 |
128 | Hyperthyroidism | 59.0 |
129 | Hypertriglyceridemia | 59.0 |
130 | Amyloidosis | 59.0 |
131 | Labyrinthitis | 59.0 |
132 | Panic disorder in adults | 59.0 |
133 | Autosomal Recessive Polycystic Kidney Disease | 58.0 |
134 | Ovarian and fallopian tube torsion | 58.0 |
135 | Colorectal cancer | 56.0 |
136 | Wilson disease | 56.0 |
137 | Gastroesophageal reflux disease | 55.0 |
138 | Common cutaneous drug reactions | 55.0 |
139 | Diabetic Ketoacidosis | 55.0 |
140 | Angle Closure Glaucoma | 55.0 |
141 | subserosal eosinophilic gastroenteritis | 54.0 |
142 | Sarcoidosis | 54.0 |
143 | Endometrial cancer | 54.0 |
144 | Graves Disease | 54.0 |
145 | Eosinophilic gastroenteritis | 53.0 |
146 | Annular pancreas | 53.0 |
147 | Diabetic Neuropathy | 53.0 |
148 | Secondary Peritonitis | 53.0 |
149 | Hepatorenal Syndrome | 52.0 |
150 | Autosomal Dominant Polycystic Kidney Disease | 51.0 |
151 | Hyperprolactinemia | 51.0 |
152 | Papilledema | 51.0 |
153 | Budd Chiari Syndrome | 50.0 |
154 | Malt lymphoma | 50.0 |
155 | End Stage Renal Disease | 50.0 |
156 | Anaphylaxis | 50.0 |
157 | Milk-alkali syndrome | 50.0 |
158 | Acute Milk-alkali syndrome | 50.0 |
159 | Chronic Milk-alkali syndrome | 50.0 |
160 | Breast Cancer | 50.0 |
161 | Subdural hematoma | 50.0 |
162 | Intestinal Entamoeba histolytica amebiasis | 48.0 |
163 | Heparin-induced thrombocytopenia | 48.0 |
164 | Ankylosing spondylitis | 48.0 |
165 | Primary Myelofibrosis | 46.0 |
166 | Hypercalcemia | 46.0 |
167 | Acute viral meningitis | 46.0 |
168 | Chronic pyelonephritis | 46.0 |
169 | Amphetamine use disorder | 46.0 |
170 | Chronic bacterial prostatitis | 46.0 |
171 | Multiple endocrine neoplasia 2A | 45.0 |
172 | Shigellosis | 44.0 |
173 | Hereditary hemochromatosis | 44.0 |
174 | Short bowel syndrome | 44.0 |
175 | biliary colic | 44.0 |
176 | Viral Gastroenteritis | 44.0 |
177 | Acute disseminated encephalomyelitis | 44.0 |
178 | Polyarteritis nodosa | 44.0 |
179 | Non-small cell lung cancer | 44.0 |
180 | Esophagitis | 42.0 |
181 | Peritoneal dialysis associated peritonitis | 41.0 |
182 | Listerial gastroenteritis | 41.0 |
183 | Adrenal Suppression | 41.0 |
184 | Salmonella infection | 41.0 |
185 | Typhoid infection | 41.0 |
186 | Fungal meningitis | 41.0 |
187 | Chronic liver disease | 40.0 |
188 | Portal hypertension | 40.0 |
189 | Acute peritonitis | 40.0 |
190 | Chronic Mitral regurgitation | 40.0 |
191 | Acute heart failure | 40.0 |
192 | Meniere disease | 40.0 |
193 | Secondary hyperparathyroidism | 38.0 |
194 | Infectious mononucleosis | 38.0 |
195 | Cystic Fibrosis | 36.0 |
196 | Malaria | 36.0 |
197 | Acalculous Cholecystitis | 35.0 |
198 | Hypothyroidism | 35.0 |
199 | Acute Lymphocytic Leukemia in Adults | 35.0 |
200 | chronic acalculous cholecystitis | 34.0 |
201 | Hemorrhagic stroke | 34.0 |
202 | Ischemic stroke | 34.0 |
203 | Acromegaly | 34.0 |
204 | Bacterial gastroenteritis | 34.0 |
205 | Prinzmetal angina | 34.0 |
206 | Unstable angina | 34.0 |
207 | Intrahepatic cholestasis of pregnancy | 34.0 |
208 | Diabetic Kidney Disease | 34.0 |
209 | Gilbert syndrome | 33.0 |
210 | Splenic Infarction | 32.0 |
211 | Acute pericarditis | 32.0 |
212 | Acute bacterial meningitis in adults | 32.0 |
213 | Pheochromocytoma | 30.0 |
214 | Non-alcoholic Fatty Liver Disease | 29.0 |
215 | Mitral Stenosis | 29.0 |
216 | Psychogenic polydipsia | 29.0 |
217 | Stable angina | 28.0 |
218 | Insect bites and stings | 27.0 |
219 | Multiple endocrine neoplasia 2B | 27.0 |
220 | Stable ischemic heart disease | 26.0 |
221 | Sunburn | 26.0 |
222 | Chronic Clonorchiasis | 24.0 |
223 | Renal Cell Carcinoma | 23.0 |
224 | Kawasaki disease | 23.0 |
225 | Discogenic low back pain | 22.0 |
226 | Rumination Syndrome | 21.0 |
227 | Autoimmune Pancreatitis | 20.0 |
228 | Chronic Lymphocytic Leukemia | 20.0 |
229 | Pneumonia | 20.0 |
230 | Herpes zoster | 19.0 |
231 | Extraintestinal Entamoeba histolytica amebiasis | 18.0 |
232 | Acute Cholangitis | 18.0 |
233 | Chronic Cholecystitis | 18.0 |
234 | anterior ischemic optic neuropathy | 18.0 |
235 | Periorbital and orbital cellulitis | 18.0 |
236 | Acute bacterial rhinosinusitis | 18.0 |
237 | Familial adenomatous polyposis syndrome | 18.0 |
238 | Cryptococcosis | 18.0 |
239 | Gout | 16.0 |
240 | Anaplastic thyroid cancer | 16.0 |
241 | Cushing syndrome | 16.0 |
242 | Epiploic appendagitis | 15.0 |
243 | Ruptured Tuboovarian abscess | 14.0 |
244 | Granulomatosis with polyangiitis | 14.0 |
245 | Chronic Hepatitis | 13.0 |
246 | COVID19 | 12.0 |
247 | Glomerulonephritis | 12.0 |
248 | Rheumatoid Arthritis | 12.0 |
249 | Hypoparathyroidism | 12.0 |
250 | Acute Myeloid Leukemia in adults | 12.0 |
251 | Hypogammaglobulinemia | 11.0 |
252 | Medullary thyroid cancer | 11.0 |
253 | Renal and perinephric abscess | 11.0 |
254 | Lung Cancer | 11.0 |
255 | Acute otitis media | 11.0 |
256 | Toxic thyroid adenoma | 11.0 |
257 | Mirizzi Syndrome | 10.0 |
258 | Testicular cancer | 10.0 |
259 | Influenza | 10.0 |
260 | Multiple Myeloma | 9.0 |
261 | Acute respiratory failure | 9.0 |
262 | Aortic coarctation | 9.0 |
263 | Clonorchiasis | 8.0 |
264 | Splenic abscess | 8.0 |
265 | Churg-Strauss Syndrome | 8.0 |
266 | Guillain-Barre syndrome | 8.0 |
267 | Zollinger-Ellison Syndrome | 7.0 |
268 | Paraneoplastic Syndromes | 7.0 |
269 | Achalasia | 7.0 |
270 | Drowning | 7.0 |
271 | Aortic stenosis | 7.0 |
272 | Obstructive Sleep Apnea | 6.0 |
273 | Asthma | 6.0 |
274 | Aortic Dissection | 6.0 |
275 | Anemia of chronic disease | 6.0 |
276 | Primary ciliary dyskinesia | 5.0 |
277 | Kartagener syndrome | 5.0 |
278 | Cholera | 5.0 |
279 | Bed bugs | 5.0 |
280 | Dacryocystitis | 5.0 |
281 | Chronic Myeloid Leukemia | 5.0 |
282 | Limited cutaneous systemic sclerosis | 5.0 |
283 | Adrenocortical carcinoma | 4.0 |
284 | Fibromyalgia | 4.0 |
285 | Pulmonary Embolism | 4.0 |
286 | Acute atrial fibrillation | 4.0 |
287 | Common cold(adults) | 3.0 |
288 | Acute bacterial meningitis in children | 3.0 |
289 | Acute Bronchitis | 2.0 |
290 | Diabetic Amyotrophy | 2.0 |
291 | Hyperaldosteronism | 1.0 |
292 | Abetalipoproteinemia | 0.0 |
293 | Conjunctivitis | 0.0 |
294 | Epidemic keratoconjunctivitis | 0.0 |
295 | Bacterial conjunctivitis | 0.0 |
296 | Viral conjunctivitis | 0.0 |
297 | Allergic conjunctivitis | 0.0 |
298 | Ligneous conjunctivitis | 0.0 |
299 | Vernal keratoconjunctivitis | 0.0 |
300 | Atopic keratoconjunctivitis | 0.0 |
301 | Noninfectious nonallergic conjunctivitis | 0.0 |
302 | Hyperosmolar Hyperglycemic state | 0.0 |
303 | Acute epididymitis | 0.0 |
304 | Immune thrombocytopenia | 0.0 |
305 | Acute Cystitis(Men) | 0.0 |
306 | Recurrent aphthous stomatitis | 0.0 |
307 | Transient ischemic attack | 0.0 |