Abdominal Distention - Differential Diagnostic Algorithm Ascites Bowel Dilatation Other Causes Mechanical Obstruction • Adhesions 60% • Volvulus 3% • Malignancy 20% • Herniation 10% Pseudo-obstruction Acute Colonic Paralytic Ileus • Peritonitis • Post-surgical • Hypothyroidism Chronic Intestinal Ogilvie's Syndrome • Trauma/Surgery • Medical Conditions (e.g. Myocardial Infarction, Congestive Heart Failure) • Drugs • Retroperitoneal Hemorrhage/Malignancy Toxic Megacolon • Inflammatory • Infectious • Ischemic Myopathic • Scleroderma • Familial Myopathy Neuropathic • Enteric (e.g. Amyloidosis, Paraneoplastic, Narcotics) • Extrinsic (e.g. Multiple Sclerosis, Spinal Injury, Stroke) #Abdominal #Distention #Differential #Diagnosis #Algorithm
