Abstract

Acute intestinal obstruction of various genesis remains one of the complex and urgent problems of emergency surgery. The reasons for unsatisfactory treatment results are late medical treatment and old age of such patients. The aim of the study was to shed light on a clinical case of acute intestinal obstruction on the background of diverticulosis of the distal colon.
 The patient K. was treated in 75 years with the analysis of X-ray examination X-ray, ultrasound examination of the abdominal cavity, computed tomography of the abdominal cavity. The diagnosis was: acute obstructive intestinal obstruction in the stage of decompensation on the background of concomitant pathology: Diverticulosis of the sigmoid and descending intestine. Diverticulitis. The patient underwent surgery: upper-middle laparotomy, total nasogastrointestinal intubation, retrograde intubation of the colon, suspended sigmostoma, drainage of the abdominal cavity. In the postoperative period for 3 days in the fecal mass found a foreign body – a polyethylene film measuring 35x50 cm.
 Thus, conducting a dynamic X-ray and sonographic examination in patients with acute obstruction of the digestive tract allows to confirm the presence of this pathology, but does not always help to establish the cause of this disease.

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