October 1977

Stenosis of the Small Intestine Due to Nonocclusive Ischemic Disease

Author Affiliations

From the Departments of Surgery (Drs Thaker and Friedman) and Medicine (Dr Weingarten), Beth Israel Medical Center and Mount Sinai School of Medicine, New York.

Arch Surg. 1977;112(10):1216-1217. doi:10.1001/archsurg.1977.01370100070013

• Intestinal stenosis following nonocclusive disturbances of mesenteric circulation will probably be encountered with increasing frequency as patients with low blood flow states resulting in transiently ischemic but viable bowel are treated early and successfully. The case reported here clearly documents the temporal sequence of dated cardiogenic shock and the subsequent onset of abdominal pain, culminating in intestinal stenosis and obstruction and necessitating later bowel resection. The pertinent literature has been reviewed. It is suggested that the likelihood of this complication be entertained in high-risk patients and supportive therapy be employed promptly and judiciously.

(Arch Surg 112:1216-1217, 1977)