The mnemonic
Adhesions, hernias, neoplasms
What each word stands for
- AdhesionsCommonest cause of small bowel obstruction in adults with prior surgery
- HerniasSecond commonest in many series
- NeoplasmsCommonest cause of large bowel obstruction
- VolvulusSigmoid volvulus in elderly patients
Why it matters clinically
Directs the likely cause and the need for a CT scan.
Where it stops being reliable
The ranking varies by region and age; in children intussusception is a major cause.
Teaching aid, still awaiting independent review. Confirm facts in a standard source.