Adhesion

Intussusception
Volvulus
Hernia
Tumor
Foreign bodies
Hirschsprungs

SCI, vertebral fracture

Abdomina/GI surgery
Infection in abdominal cavity
Neurologic impairment

FUNCTIONAL
OBSTRUCTION
MECHANICAL
OBSTRUCTION
Cessation of
peristalsis

Borboryg

Inc.
contraction of

Distension of

Inc. intraluminal
pressure
Severe
colicky
abdomin
al pain

Gases and fluids

accumulate in the

Inc. secretions
into the intestine

Compression of
veins
Inc. venous
pressure
Edema
of the
Dec.
absorption
intestine

Persisten
t
vomiting

Bacterial

Dec. arterial
blood supply

Compression of
terminal branches
of mesenteric
artery

Ischemia,
Anoxia

Necrosis

Gangrenous
intestine wall

Dec.
bowel
sound

Cessation of
peristalsis

Bacteria or
toxins leak into:

Perforation of
necrotic segment

Peritoneal
cavity

Blood
suppy

Peritonitis

Bacteremia
Septicemia

DEATH