Chronic duodenal ileus due to chronic arteriomesenteric occlusion is relatively uncommon. But it does occur more frequently than one usually thinks. Accurate evaluation of the history and clinical findings, together with the cooperation of the internist, roentgenologist, and surgeon are essential to lead to the proper diagnosis.
The patient is a 40-year-old white woman, admitted to the hospital with the chief complaints of cramping pain in the lower epigastric region and also in the right lower abdomen, associated with nausea and vomiting, of 24 hours' duration.
Further questioning revealed that the patient had seven previous operations. The first one was done 13 years ago, consisting of an appendectomy. Two months later, she had a pelvic operation, of which she was unable to give the exact nature. Then about a year later, the patient started bleeding vaginally; dilatation and curettage three times did not stop the bleeding, and she was operated
LU JL, COLE GM. Chronic Duodenal Ileus Due to Chronic Arteriomesenteric OcclusionReport of a Case. AMA Arch Surg. 1956;73(6):1022-1025. doi:10.1001/archsurg.1956.01280060122027