Small Or Large Bowel Obstruction: Cancer

Your Path

  • Small or Large Bowel Obstruction: Cancer

Etiology

  • Large bowel: colorectal adenocarcinoma; anal squamous cell; lymphoma; mets to colon uncommon (e.g. melanoma)
  • Small bowel: lymphoma, adenocarcinoma, carcinoid

Risk Factors

  • Known cancer
  • No prior CRC screening

Symptoms

  • Wt loss
  • Fatigue
  • N
  • V
  • Distension
  • Non-specific pain
  • Other systemic sx
  • Decreased flatus

Physical Exam Findings

  • Distension
  • Sometimes palpable mass
  • Blood on rectal exam - occult or red if distal