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September 1946

ACUTE SUPERIOR MESENTERIC ARTERY THROMBOSISRecovery Following Extensive Resection of Small and Large Intestines

Arch Surg. 1946;53(3):298-303. doi:10.1001/archsurg.1946.01230060305002

WHILE I was on duty at an evacuation hospital functioning in February 1945, amid the rush of caring for battle casualties it was interesting to be confronted with an unusual acute condition within the abdomen which required operation.

An infantry private first class, 19 years old, was admitted to the hospital on February 16, with shell fragment wounds of the left arm and right thigh. Shortly after admission these wounds were excised, with the patient under anesthesia induced by pentothal sodium. A foreign body was removed from the wound in the right thigh. The patient made an uneventful recovery and was out of bed on the third day. He was scheduled to be evacuated to an Army convalescent hospital on the fourth day after operation.

On the evening of the third day, shortly after eating his evening meal, the patient was seized with severe pain in the upper abdominal region.

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