International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 4, Issue 6 | Case Report | Open Access
Houhong Wang*
Department of General Surgery, The Affiliated Bozhou Hospital of Anhui Medical University, China
*Correspondence to: Houhong Wang
Fulltext PDFBackground: Abdominal pain is a prominent symptom of intestinal obstruction, but the relationship between pain characteristics and the disease's progression and prognosis remains unclear. This retrospective study aimed to analyze the characteristics of abdominal pain in patients with intestinal obstruction and explore their associations with etiology, severity, and treatment outcomes.
Methods: Data from 120 patients diagnosed with intestinal obstruction and admitted to a single tertiary hospital between 2021 and 2024 were retrospectively reviewed. Information on pain location, intensity, nature, duration, associated symptoms, and treatment - related data was collected. Statistical analyses were performed to identify correlations between pain characteristics and other clinical variables.
Results: Diffuse abdominal pain was observed in 65% (78/120) of patients, and the mean pain intensity score (Visual Analogue Scale, VAS) was 7.2 ± 1.8. Patients with strangulated obstruction had significantly higher VAS scores (8.5 ± 1.5) compared to those with simple obstruction (6.2 ± 1.6, p < 0.001). Multivariate analysis showed that severe pain (VAS ≥ 8) (OR = 3.2, 95% CI: 1.4 - 7.3, p = 0.006) and persistent pain duration over 24 hours (OR = 2.8, 95% CI: 1.2 - 6.5, p = 0.019) were independent risk factors for poor prognosis.
Conclusion: Abdominal pain characteristics in intestinal obstruction patients are closely related to the disease's severity and prognosis. Understanding these characteristics can assist in early identification of high - risk patients and guide treatment decisions.
Intestinal Obstruction; Abdominal Pain; Pain Characteristics; Prognosis; Retrospective Analysis
Houhong Wang. Retrospective Analysis of Etiology, Treatment Outcomes, And Risk Factors in Intestinal Obstruction. Int Clinc Med Case Rep Jour. 2025;4(6):1-4.