Mesenteric embolism and thrombosis : a study of two hundred and fourteen cases / James Marsh Jackson, Charles Allen Porter and William Carter Quimby.
- Jackson, James Marsh.
- Date:
- 1904
Licence: Public Domain Mark
Credit: Mesenteric embolism and thrombosis : a study of two hundred and fourteen cases / James Marsh Jackson, Charles Allen Porter and William Carter Quimby. Source: Wellcome Collection.
70/124 page 66
![CoHn.—Woman, 71 years. For three months swelling of body, later of feet. Mitral insufficiency. Sudden fainting, vith convulsion and vomiting. Not conscious till next day. General tenderness in belly, especially on left. Free fluid dem- onstrated in cavity. Small liver. Pulse 180, small and weak. No albumin in urine. Autopsy.—Superior mesenteric artery plugged 244 inches from origin. Mucosa of small intestine hyperemic; no ulcers. Large blood tumor between the layers of the mesentery. Mes- enteric glands enlarged. Cardiac hypertrophy with thickening of mitral valve. Conn.—Woman, 28 years. Syphilis and Bright’s disease. Marked ascites and diarrhea. Died in five weeks. (No other data). Autopsy.—One foot of small intestine, just above cecum, in- fareted. Thrombus in corresponding branch of superior mes- enteric artery. Splenic infarct. Liver enlarged, heart nor- ma]. Atheroma of aorta, with fibrin on one spot. Concato.—(Age and sex not given). Three days before death colicky pain in epigastrium, increased on _ pressure. Tympanitic distension; no vomiting. Subnormal temperature. Autopsy.—Turbid, foul serum in abdominal cavity. Sclero- sis of aorta with mural thrombi. In several larger and smaller branches of superior mesenteric artery are obliterating clots. Infarction and necrosis of intestine, beginning 1 meter below the duodenum. Mucosa discolored in places, partly ulcerated. Ascending colon normal; transverse hyperemic. Intestinal contents bloody. Conti.—Man, 65 years. Previous cerebrospinal meningitis. Two years later in hospital for atheromatosis. No special pain or trouble. Sudden illness like acute peritonitis and died. Autopsy.—Whole superior mesenteric artery full of easily separable clots. Rent in transverse colon 1 cm. Small intes- tine and ascending colon edematous. In the right half of the transverse colon two large subserous hemorrhages. Hyper- trophy of left heart wall. Thrombus of aorta. CoUNCILMAN.—Man, 61 years. Senile gangrene of feet. In- creasing general abdominal pain for two days before death. Autopsy.—In aorta several parietal thrombi. In superior mesenteric artery an obliterating embolus attached to a cal- careous patch. Infarct of whole small intestine with necrotic areas in its mucosa. Intestine much distended, with flakes of fibrin on its surface. General peritonitis; no intestinal per- foration. Gut wall thickened. Embolus of thigh artery with subsequent gangrene. Renal infarcts. CouUNCILMAN.—Man, 62 years. Eight months ago had symp- toms referable to heart. For past month has had orthopnea and anasarea. Sudden pain in abdomen and tenderness, in- creasing till death, eight days later. Hight days before death,](https://iiif.wellcomecollection.org/image/b32766634_0070.jp2/full/800%2C/0/default.jpg)
