Common Procedures

Acute Abdominal Emergencies
Perforated Viscus
Gastrointestinal Bleeding
Acute Pancreatitis
Acute Appendicitis
Acute Cholecystitis
Acute Diverticulitis

Bowel Obstruction
Hernia Emergencies

More Procedures:
Acute Soft Tissue Infection
Emergency Vascular Access
Surgical Consultation
Operative Exposure

Bowel Obstruction

Bowel obstruction (or intestinal obstruction) is a mechanical or functional obstruction of the intestines, preventing the normal transit of the products of digestion. It can occur at any level distal to the duodenum of the small intestine and is a medical emergency.

The condition is often treated conservatively over a period of 2-5 days with the patient's progress regularly monitored by an assigned physician. Surgical procedures are performed on occasion however in life-threatening cases, such as when the root cause is a fully lodged foreign object or malignant tumor.  » more

Hernia Emergencies

Hernia Emergencies As defined in 1804 by Astley Cooper, a hernia as a protrusion of any viscus from its proper cavity. The protruded parts are generally contained in a sac-like structure, formed by the membrane with which the cavity is naturally lined.[1]

Since that time, several different types of abdominal wall hernias have been identified, along with a larger number of associated eponyms. This article reviews the pathophysiology, evaluation, and treatment of most of these hernias from an emergency medicine perspective.

Hernias are brought to the attention of an emergency physician either during a routine physical examination for other medical complaints or when the patient has developed a complication associated with the hernia.  » more

Perforated Viscus

An organ with an abnormal opening often is referred to as a perforated viscus. Viscus technically means a hollow organ found inside the body. Examples of these hollow organs mostly are found in the chest and abdomen such as the stomach, appendix, intestines, spleen, gallbladder, and urinary bladder. The term viscus is a singular form, often used in referring to only one organ involved. Its plural term, viscera, generally is used to denote the involvement of many organs.

Hollow organs often have several layers of cells in their walls in order to hold materials inside. Food materials consumed during meals and some acids used in digestion typically are found in the stomach. Digested food and waste materials to be excreted out of the body usually are found in the intestines. The gallbladder generally contains bile and bile acids, and the urinary bladder is mostly a storage site for urine before it is passed out of the body.

Spilling of these materials inside the abdomen usually happens in the presence of a perforated abdominal viscus. These materials often are toxic inside the body cavity, and can place the life of a patient in danger. Bacteria often reach the blood system in most of these cases, thus immediate medical attention and effective treatment generally are needed in such situations.  » more

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