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Aetiology The most common causes of bowel obstruction depend on location: Small bowel adhesions or hernia Large bowel malignancy, diverticular disease, or volvulus The full list of causes of bowel obstruction can otherwise be divided into extramural, intramural, and intraluminal causes (Table 1) Table 1 Causes of bowel obstruction *especially in Crohns patients ** most common in children Clinical Features Patients with bowel obstruction will present with the cardinal features of bowel obstruction (to varying degrees): Abdominal pain colicky or cramping in nature (secondary to the bowel peristalsis) Vomiting occurring early in proximal obstruction and late in distal obstruction Abdominal distension Absolute constipation occurring early in distal obstruction and late in proximal obstruction On examination, patients may show evidence of the underlying cause (e.g