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Article
October 28, 1911

Thrombosis of the Mesentery Diagnosed Before Death

Author Affiliations

Philadelphia

JAMA. 1911;LVII(18):1474. doi:10.1001/jama.1911.04260100300032

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Abstract

To the Editor:  —I take exception to the statement of Dr. R. W. Wakefield in his article, "Thrombosis of the Mesentery," etc. (The Journal, Oct. 14, 1911, p. 1286), that "thrombosis of the mesentery... is never diagnosed except at operation or post mortem." I recall a case in which I made a necropsy several years ago at the University Hospital, in which an ante-mortem diagnosis was correctly made by Dr. Alfred Stengel. The most striking of the symptoms was sudden severe abdominal pain. Autopsy revealed a thrombus in the superior mesenteric artery close to its origin, with corresponding segmental gangrene of the ileum.

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