症例 challenge · Surgery / Emergency · teaching

Bowel Obstruction — Management Pathway · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on WSES / Bologna

Case #1Surgery / Emergency

📋 Case data

Strangulation/perforation?None, suitable for conservative care

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · Strangulation/perforation?

Any signs of strangulation/ischemia or peritonitis?

💡 Mechanical bowel obstruction (abdominal pain, distension, vomiting, obstipation; imaging shows dilated loops and air-fluid levels). Red flags for strangulation/ischemia: peritoneal signs, persistent severe pain, fever, tachycardia, raised WBC/lactate, CT showing a closed loop/reduced bowel-wall enhancement/pneumatosis/portal venous gas; hemodynamic instability; complete or closed-loop obstruction, perforation.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.