Paralytic ileus

Case contributed by David Cuete
Diagnosis certain

Presentation

Prolonged hospitalization, electrolyte imbalance, painful abdominal distension

Patient Data

Age: 70 years
Gender: Male

CT abdomen and pelvis

ct

Marked distension of bowel loops with air-fluid levels. No evidence of mechanical obstruction.

Case Discussion

Paralytic ileus is a functional intestinal obstruction without an actual physical obstruction.

This type of functional obstruction is caused by a multifactorial malfunction in the nerves in the intestine and subsequent impairment in intestinal peristalsis.

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