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February 1950


Author Affiliations

From the departments of surgery, St. Luke's Hospital and the University of Illinois College of Medicine.

Arch Surg. 1950;60(2):339-342. doi:10.1001/archsurg.1950.01250010357012

IT IS NOW one hundred and five years since Tiedemann reported the first case of mesenteric vascular occlusion. Virchow described the disease in detail in 1847. The total number of reported cases is near 900. Elliot first operated successfully for mesenteric vascular occlusion in 1895. In 1921 Klein recorded 24 cases of successful resection. In 1931 Meyer added 14 cases in which the patient survived resection. Since 1931, 25 patients who survived resection, including the one presented in this paper, have been reported on. This brings the total of successful resections to 63.

Mesenteric vascular occlusion is one of the most fatal of all abdominal conditions. This condition masquerades well and is difficult of recognition. It is relatively rare, and few cases are observed by any one surgeon.

A survey of the records from the Massachusetts General Hospital by Warren and Eberhard revealed that occlusion of mesenteric vessels was encountered