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July 2, 1938


Author Affiliations

Fellow in Surgery, the Mayo Foundation PEORIA, ILL.; ROCHESTER, MINN.

From the Division of Surgery, the Mayo Clinic.

JAMA. 1938;111(1):21-24. doi:10.1001/jama.1938.02790270023007

Mesenteric vascular occlusion, one of the most fatal of all abdominal catastrophes, arises in a variety of ways and gives rise frequently to bizarre symptoms. This condition most often defies recognition and is treated by various surgical and nonsurgical methods, usually to no avail. Its occurrence is relatively rare and few cases are seen in any one surgical practice. However, in the study of a series of these cases, facts regarding origin and pathogenesis are obtained, predominant symptoms are recognized and types of treatment used may be evaluated, all of which may aid in recognition and management in the occasional case.

The study we are presenting is based on a consecutive series of sixty proved cases seen at the Mayo Clinic, in fifty-seven of which necropsy was performed; in the remaining three cases surgical procedures performed for the occlusion were survived. Cases in which the symptoms and clinical course were