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Canis ISSN: 2398-2942

Intestine: rupture

Contributor(s): Andrew Gardiner, Kenneth Simpson

Introduction

  • Intestinal rupture is a life-threatening condition requiring emergency stabilization and treatment (surgery).
  • Cause:
    • Sequel to obstruction by foreign body, ruptured neoplasm, eg lymphoma, adrenocarcinoma, leiomyoma, torsion or intussusception.
    • As a result of penetrating trauma, eg gunshot.
    • Complication after bowel surgery, especially after anastomotic procedures.
    • Rarely secondary to hyperacidity caused by mast cell tumor/gastrinoma.
  • Acid-base, electrolyte and hydration status are usually abnormal.
  • Septic complications and peritonitis are likely to have begun prior to treatment.
  • Signs: depression/collapse, abdominal pain, dehydration, vomiting, tachypnea.
  • Diagnosis: history, radiography, abdominocentesis, hematology, biochemistry, ultrasonography.
  • Treatment: surgical resection and anastomosis, abdominal lavage.
  • Prognosis: guarded.

Pathogenesis

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Diagnosis

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Treatment

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Outcomes

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Further Reading


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