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November 1968

Laceration of the Superior Mesenteric Artery With Successful Primary Repair: Report of a Case

Author Affiliations

Washington, DC
From Georgetown University Division of Surgery at District of Columbia General Hospital, Washington, DC. Dr. Grisez is now at Second General Hospital, APO US Forces 09180, Landstuhl, Germany. Dr. Brea is now a practicing cardiovascular surgeon in Buenos Aires.

Arch Surg. 1968;97(5):782-783. doi:10.1001/archsurg.1968.01340050122018

Isolated injuries to the superior mesenteric artery susceptible to repair are unusual. Ulvestad1 reported a case in which blunt trauma to the abdomen produced a laceration of the superior mesenteric artery which was successfully repaired. Killen2 reported two cases of superior mesenteric vessel injury and emphasized the rarity of this condition.

Report of a Case  A 24-year-old Negro woman arrived at the emergency room of the District of Columbia General Hospital at 2:30 am who had been stabbed several times in the neck, chest, and abdomen. The patient was pale and in clinical shock with a blood pressure of 60/0 and a rapid, thready pulse. Physical examination revealed superficial lacerations of the neck, two puncture wounds of the right anterior chest wall in the third intercostal space, and four closely placed stab wounds of the abdomen just above and to the left of the umbilicus. Examination of the

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