Large-Bowel Obstruction in the Adult: Classic Radiographic and CT Findings, Etiology, and Mimics

Radiology
Tracy Jaffe, W M Thompson

Abstract

Large-bowel obstruction is an abdominal emergency with high morbidity and mortality rates if left untreated. Although abdominal radiography is usually the initial imaging study performed in patients suspected of having large-bowel obstruction, it may not be sufficient to distinguish obstruction from other causes of colonic dilatation. Computed tomography is the imaging method of choice as it can establish the diagnosis and cause of large-bowel obstruction. A contrast agent enema may be used to confirm or exclude large-bowel obstruction. In this review, the imaging findings in multiple causes of large-bowel obstruction are illustrated and compared with acute colonic pseudo-obstruction.

References

Nov 1, 1979·AJR. American Journal of Roentgenology·P A BrodeyS Esterkyn
Jan 1, 1977·AJR. American Journal of Roentgenology·N A Newton, H D Reines
Jul 1, 1978·American Journal of Surgery·B L Bachulis, P E Smith
Oct 1, 1991·Radiology·R E Mindelzun, J M Stone
Sep 1, 1991·Diseases of the Colon and Rectum·J C Garcia-ValdecasasC Pera
Mar 1, 1986·Diseases of the Colon and Rectum·V W Vanek, M Al-Salti
Dec 1, 1985·AJR. American Journal of Roentgenology·C D JohnsonM E Williford
Apr 1, 1985·Radiology·M S LevineJ C Reynolds
Jul 1, 1985·Annals of Surgery·G H BallantyneD M Ilstrup
Oct 1, 1967·The American Journal of Roentgenology, Radium Therapy, and Nuclear Medicine·D Bryk, K Y Soong
Nov 1, 1984·The British Journal of Radiology·R E Kottler, G K Lee
May 1, 1984·Annals of Surgery·G L IrvinJ A Caruana
Dec 1, 1983·Diseases of the Colon and Rectum·M A GumbsS R Yerubandi
May 1, 1984·Diseases of the Colon and Rectum·R W Holt, R C Wagner
Nov 1, 1981·Diseases of the Colon and Rectum·G H Ballantyne
May 1, 1994·Clinical Radiology·H C BurrellA J Evans
Jan 1, 1993·Abdominal Imaging·A J FrankR A Losada
Dec 1, 1995·Journal of Clinical Gastroenterology·M IkuharaK C Meyer
Jan 31, 1998·The Surgical Clinics of North America·F Lopez-KostnerI C Lavery
Mar 28, 1998·Abdominal Imaging·D FragerM Friedman
Jul 15, 1999·The New England Journal of Medicine·R J PonecM B Kimmey
Sep 2, 1999·AJR. American Journal of Roentgenology·B R JavorsJ A Miller
Mar 15, 2000·Radiographics : a Review Publication of the Radiological Society of North America, Inc·K M HortonE K Fishman
Mar 15, 2000·Radiographics : a Review Publication of the Radiological Society of North America, Inc·K M HortonE K Fishman
Jul 11, 2000·Radiology·D Feldman
Jun 22, 2001·AJR. American Journal of Roentgenology·C J MooreE K Fishman
Nov 1, 2001·International Journal of Colorectal Disease·W L LawK W Chu
Mar 15, 2002·The British Journal of Radiology·G GayerM Hertz
Jul 24, 2002·American Journal of Surgery·Dale F BergWalter E Longo
Feb 20, 2003·Abdominal Imaging·P TaourelJ M Bruel
Nov 18, 2004·AJR. American Journal of Roentgenology·Patrice TaourelJean Michel Bruel
Dec 29, 2004·Diseases of the Colon and Rectum·Sebastiano BiondoEduardo Jaurrieta
Feb 25, 2006·AJR. American Journal of Roentgenology·Lucie C MartinWilliam M Thompson
Apr 6, 2006·Internal Medicine·Kentaro HiraoToshihiko Iwamoto
May 17, 2006·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Young H KimPeter R Mueller
Feb 3, 2007·Digestive Diseases and Sciences·Hidehisa YamadaTaro Oshikiri
Feb 20, 2007·ANZ Journal of Surgery·Garth C BeattieRichard M Mendelson
Feb 22, 2007·AJR. American Journal of Roentgenology·William M ThompsonErik K Paulson
Jul 10, 2007·Emergency Radiology·Eric DelabrousseBruno A Kastler
Nov 21, 2007·Inflammatory Bowel Diseases·Arun Swaminath, Simon Lichtiger
Apr 5, 2008·The Medical Clinics of North America·Mitchell S Cappell, Mihaela Batke
Apr 5, 2008·The Medical Clinics of North America·Mihaela Batke, Mitchell S Cappell
May 22, 2008·AJR. American Journal of Roentgenology·Ji Soo ChoiKi Whang Kim
Sep 17, 2009·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Christine M PetersonChristine O Menias

❮ Previous
Next ❯

Citations

Jan 9, 2016·Revue de l'infirmière·Bertrand TrillingCatherine Arvieux
Sep 25, 2015·Medizinische Klinik, Intensivmedizin und Notfallmedizin·J Keller, P Layer
May 7, 2016·Magnetic Resonance Imaging Clinics of North America·Sirote WongwaisayawanAjay K Singh
May 15, 2016·Abdominal Radiology·Akash GangulyChinedum Anosike
Jun 9, 2016·Diseases of the Colon and Rectum·Jon D VogelScott R Steele
Sep 6, 2017·AJR. American Journal of Roentgenology·Alexander S Somwaru, Shaile Philips
May 17, 2018·BMJ Case Reports·Radford Arran James SmithRobert Bethune
Oct 8, 2019·British Journal of Hospital Medicine·Oscar EvansTwana Shareef
Jun 7, 2019·World Journal of Emergency Surgery : WJES·Fausto CatenaLuca Ansaloni
Nov 16, 2017·The American Journal of Forensic Medicine and Pathology·Dominic GaschoGuillaume Gorincour
Oct 5, 2019·Gastroenterology Research and Practice·Federica VernuccioGiuseppe Salvaggio
Jun 27, 2020·Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists·Malcolm ForbesStephen Stuckey
Sep 15, 2020·Curēus·Abigail W ChengSaad Shebrain
May 10, 2017·Journal of Clinical Imaging Science·Subramaniyan RamanathanArpit Nagar
Mar 30, 2020·Abdominal Radiology·Margaret WongEric W Olcott
Jun 12, 2018·Obstetrics and Gynecology International·Yeh Chen LeeStephanie Lheureux
May 25, 2020·International Journal of Colorectal Disease·Andreas LarentzakisGeorgios C Zografos
Nov 26, 2016·Abdominal Radiology·Preethi GunigantiVincent Mellnick
Dec 12, 2020·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Joyce V VeldPieter J Tanis
Jul 2, 2019·Porto Biomedical Journal·José António Ferraz GonçalvesAdelaide Moutinho
Apr 18, 2021·Emergency Medicine Clinics of North America·Ryan Spangler, Sara Manning
Jul 28, 2020·European Journal of Radiology·Cécile VerheydenPatrice Taourel
Jun 3, 2021·Abdominal Radiology·Matthew H LeePerry J Pickhardt

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Hereditary Sensory Autonomic Neuropathy

Hereditary Sensory Autonomic Neuropathies are a group of inherited neurodegenerative disorders characterized clinically by loss of sensation and autonomic dysfunction. Here is the latest research on these neuropathies.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Landau-Kleffner Syndrome

Landau Kleffner syndrome (LKS), also called infantile acquired aphasia, acquired epileptic aphasia, or aphasia with convulsive disorder, is a rare childhood neurological syndrome characterized by the sudden or gradual development of aphasia (the inability to understand or express language) and an abnormal electroencephalogram. Discover the latest research on LKS here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Regulation of Vocal-Motor Plasticity

Dopaminergic projections to the basal ganglia and nucleus accumbens shape the learning and plasticity of motivated behaviors across species including the regulation of vocal-motor plasticity and performance in songbirds. Discover the latest research on the regulation of vocal-motor plasticity here.