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16 Possible Causes for Absent Bowel Sounds, Decreased Bowel Sounds, Pelvic Hematoma

  • Retroperitoneal Hemorrhage

    Her abdomen was extremely distended, firm to the touch, and had absent bowel sounds.[] Contrast computed tomography (CT) revealed an extensive abdominal-pelvic, retroperitoneal hematoma extending approximately 15 cm in length from above L5 cephalad to below[] Surgery After blunt trauma, selected retroperitoneal hematomas in the lateral perirenal and pelvic areas do not require operation and should not be opened if discovered at[]

  • Abdominal Injury

    bowel sounds Peritonitis Suspicious findings on adominal XRay or CT Abdomen (e.g.[] First this patient is at risk for arterial injury with pelvic hematoma, rectal, vaginal injury and bladder injury.[] Bowel perforation and the spread of blood, bacteria, and chemical irritants can cause diminished or absent bowel sounds.[]

  • Hemoperitoneum

    Do not explore pelvic hematomas. Use external fixation of pelvic fractures to reduce or stop blood loss in this region.[] […] formed by the intra-pelvic medial migration of the K wire.[] If a pelvic hematoma was found and the patient continues to lose blood after external fixation of a pelvic fracture, arteriography with embolization can be used to stop the[]

  • Traumatic Urinary Bladder Rupture

    His abdomen was grossly distended with guarding and rigidity and bowel sounds were absent.[] bowel sounds, bruising Genitourinary exam: Blood at meatus, gross hematuria, clots in the urine, scrotal/urethral hematoma, free floating or high riding prostate, unstable[] Additionally, the bladder may assume a teardrop shape secondary to compression from a pelvic hematoma.[]

  • Diverticular Abscess

    sounds Absent bowel sounds (perforation) Generalized abdominal pain with rebound and guarding (perforation) Urinary tract findings (colovesicular/colovaginal fistula) include[] Bowel sounds often are decreased but may be normal early in the condition or increased in the presence of obstruction.[] […] inflammatory disease, hematoma, tumor, and inflammation of the iliopsoas compartment Diagnostic Tests & Interpretation Initial Tests (lab, imaging) Labs: WBC ( 10,000/mL)[]

  • Volvulus

    Bowel sounds are initially hyperactive becoming absent later on [ 1, 7 ].[] Figure 4: Axial CT scan of pelvic objectifying moderately abundant hemoperitoneum at the Dougla’s pouch.[] Bowel sounds on initial presentation are absent or very quickly become so [ 2 ].[]

  • Intestinal Obstruction

    A stethoscope will be placed on your abdomen to listen for bowel sounds. Absent, or abnormal signs may suggest a bowel obstruction.[] bowel sounds.[] […] related to underlying etiology Risk Factors Previous abdominal and/or pelvic surgery (particularly with open surgical techniques) Hernia Chronic constipation Cholelithiasis[]

  • Pelvic Vein Thrombophlebitis

    bowel sounds; * nausea; * vomiting; and * increased pulse rate (tachycardia).[] […] scan or MRI scan to help your doctor visualize the major pelvic vessels and look for blood clots.[] The symptoms usually presents in the first postpartum week as a syndrome consisting of pelvic pain, fever and a right-sided abdominal mass [1], [2], [6], [7], [8].[]

  • Retroperitoneal Abscess

    Abdominal examination revealed distension of abdomen, diffuse abdominal tenderness along with guarding, rigidity and absent bowel sounds.[] Extension of fluid collections Pelvic Extension By the infrarenal retroperitoneal space 27. Retroperitoneal Hematomas 28.[] […] inflammatory disease Renal insufficiency Retroperitoneal hematoma Surgery (GI or GU) Urinary tract infections -- To view the remaining sections of this topic, please sign[]

  • Intraperitoneal Abscess in the Right Lower Quadrant

    Intestinal obstruction would cause abdominal distention, diminished or absent bowel sounds, and abdominal pain.[] Signs of peritoneal inflammation, including rebound tenderness, abdominal wall rigidity, and decrease in bowel sounds are observed.[] […] and ureter – nephrolithiasis (ureteric colic) In females (gynecologic) – Right ovary – ovarian cyst rupture, ovarian torsion, endometriosis Right fallopian tube – acute pelvic[]