Vitals & Useful Links:

• Learn about one important etiology of abdominal pain (see spoilers below if you want to know which one)
• Podcasts: Abdominal Pain Basics (EM Clerkship), This Episode’s Topic (EM Clerkship) *SPOILERS*
• EM Basic Show Notes: Female Abdominal Pain
• Recommendations for Management of This Episode’s Topic *SPOILERS*

---

In a big twist this week, we welcome our friend and future surgeon Brynne (MS4) to lead Arman (MS4) and Kyle (MS4) through a surgical emergency case. As always, we learn a couple very important points about one etiology of abdominal pain including some non-surgical interventions we can perform in the Emergency Room. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com

*****EPISODE SPOILERS BELOW*****

Here’s Brynne’s article on Adhesive Disease in Abdominal Surgery
Ten Broek, R. P., Issa, Y., van Santbrink, E. J., Bouvy, N. D., Kruitwagen, R. F., Jeekel, J., … & van Goor, H. (2013). Burden of adhesions in abdominal and pelvic surgery: systematic review and met-analysis. Bmj, 347.

Her Article on Small Bowel Obstruction
Mullan, C. P., Siewert, B., & Eisenberg, R. L. (2012). Small bowel obstruction. American Journal of Roentgenology, 198(2), W105-W117.

Another Article on Adhesive Disease
Menzies, D., & Ellis, H. (1990). Intestinal obstruction from adhesions–how big is the problem?. Annals of the Royal College of Surgeons of England, 72(1), 60.

Grading of Adhesive Disease
Hernandez, M. C., Haddad, N. N., Cullinane, D. C., Yeh, D. D., Wydo, S., Inaba, K., … & Workgroup, E. S. (2018). The American Association for the Surgery of Trauma Severity Grade is valid and generalizable in adhesive small bowel obstruction. Journal of Trauma and Acute Care Surgery, 84(2), 372-378.

Long-Term Prognosis After Operation for Adhesive Disease
Fevang, B. T. S., Fevang, J., Lie, S. A., Søreide, O., Svanes, K., & Viste, A. (2004). Long-term prognosis after operation for adhesive small bowel obstruction. Annals of surgery, 240(2), 193.

Risk of Adhesion Recurrence
Behman, R., Nathens, A. B., Mason, S., Byrne, J. P., Hong, N. L., Pechlivanoglou, P., & Karanicolas, P. (2019). Association of Surgical Intervention for Adhesive Small-Bowel Obstruction With the Risk of Recurrence. JAMA surgery, 154(5), 413–420.

DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong – if you notice this, please email us at emjccast@gmail.com.