RARE CAUSES OF MECHANICAL BOWEL OBSTRUCTION IN ADULTS – REVIEW OF THE LITERATURE AND PERSONAL CASES
Abstract:
Causes of mechanical bowel obstruction most frequently met in adults are represented by
postoperative adhesions, tumours and hernias. However, there are some rare cases that can have a
great diversity, representing a surgical challenge. We intend to present a series of such cases taken from
both the literature and from our own casuistry. The rare causes of bowel obstruction we present were
classified into tumoral disorders, rare cases of hernia, foreign bodies in the digestive tract, bowel
obstruction by faulty changes in spindle or by lack of fixation of the mobile parts of the digestive tract
and rare disorders of the peritoneum. The etiology of many cases of bowel obstruction is determined
intraoperatively, the management of the most common ones being well standardized. However, the
surgeon must take into account a possible rare etiology of mechanical bowel obstruction, requiring
particular therapeutic conduct.
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