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Article
June 1967

Evaluation of Intra-abdominal Disease of Obscure CauseAnalysis of Arteriograms of 185 Patients

Author Affiliations

Cleveland
From the Department of Hospital Radiology and the Department of Vascular Surgery, the Cleveland Clinic Foundation, Cleveland. Dr. Kistner is presently at the Straub Clinic, Honolulu.

Arch Surg. 1967;94(6):811-816. doi:10.1001/archsurg.1967.01330120065013
Abstract

DESPITE INTENSIVE investigation of patients whose symptoms are abdominal pain or weight loss, the cause of the pain is not diagnosed in a rather large number of patients. In 1957, Ödman1 outlined the potentialities of selective arteriography of the celiac axis for detecting intra-abdominal disease processes. Since that time other authors2,3,4 have demonstrated its value in the assessment of mass lesions of the gastrointestinal tract as well as in the evaluation of patients suspected of having occlusive disease of the celiac or mesenteric arteries.

A review of the literature discloses that in most series the indication for celiac or superior mesenteric arteriography has been for the elucidation of known disease processes. The purpose of this report is to present an analysis of the arteriographic findings in patients with abdominal pain or weight loss in whom the diagnoses were not made by the usual methods.

Materials and Methods  One-hundred

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