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December 1956

Massive Resection of the Small Intestine: Report of a Case of Resection of Three Hundred Forty-Five Centimeters of Small Intestine

Author Affiliations

Providence, R. I.

AMA Arch Surg. 1956;73(6):981-984. doi:10.1001/archsurg.1956.01280060081018

Successful resection of great lengths of small intestine is relatively infrequent. There are, however, fairly numerous reports of successful cases in literature.

It seems worth while to report this case because it represents a relatively infrequent surgical opportunity and because of the small amount of small intestine remaining after the resection, 15 cm. of jejunum and 7 cm. of ileum.

Report of Case  A 48-year-old lawyer was admitted to the hospital on Oct. 30, 1950, about two hours after the onset of severe generalized abdominal pain. The patient was known to have had six attacks of rheumatic fever, starting at the age of 7 years, with the last attack occurring at the age of 37. He was known to have mitral stenosis and insufficiency and possibly an aortic lesion as well. However, there was no history of limitation of ordinary activity. He had had no attacks of dyspnea and no