In this episode, we review small bowel obstruction (SBO)—a common surgical emergency that can rapidly progress to ischemia, perforation, and sepsis if not recognized early. We break down the pathophysiology of mechanical obstruction, classic risk factors such as prior abdominal surgery and adhesions, and the key clinical findings that distinguish partial from complete obstruction. The discussion highlights the critical role of CT imaging, initial conservative management with bowel rest and nasogastric decompression, and clear surgical indications.
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