[Skip to Content]
[Skip to Content Landing]
Article
July 9, 1904

MESENTERIC EMBOLISM AND THROMBOSIS.A STUDY OF TWO HUNDRED AND FOURTEEN CASES.

JAMA. 1904;XLIII(2):110-114. doi:10.1001/jama.1904.92500020002d
Abstract

OPERATION. DR. F. B. HARRINGTON. ⅛ PER CENT. COCAIN.  Six-inch incision along right rectus. Peritoneum dark and free fluid present. Coils of small intestine found flaccid, black and foul smelling. Gangrene found to involve cecum and ascending colon to hepatic flexure, besides all of the ileum. Continuing from gangrenous areas, the intestine changed gradually to almost normal color. At this stage patient became restless and primary ether was given, also for very poor condition, strychnia, 1/20 gr., with no effect. Small perforation found in small intestine, through which much dark venous blood was oozing. Perforation tied with silk. Purse-string stitch of silk put in small intestine and Mixter tube inserted. Small amount of gas escaped, but no intestinal contents. Patient collapsed and died.

AUTOPSY. DR. J. H. WRIGHT.  Sept. 20, 1902. Obturating thrombus of superior mesenteric artery, due to endarteritis. Hemorrhagic infarct of small intestine, and of portion

First Page Preview View Large
First page PDF preview
First page PDF preview
×