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.
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![bosis of some of the branches of the superior mesenteric artery. In lowest part of ileum a ring-shaped bluish-red area corre- sponding to defect of mucous membrane on inside. Ileocolic artery partly closed by tenacious yellow white mass. Deposits on intima in several branches of superior mesenteric artery. DECKART.—-Man, 40 years. Lues at 20. For many years had had difficulty with heart occasionally, called by physician neu- rasthenic. Nine years ago was operated for obstruction to feces. Has been well since. Attack began with sudden vomit- ing. Marked colicky pain, greatest on the right below navel. Marked pain on pressure all over the abdomen, especially in ileocecal region. Marked abdominal distension. No visible peristalsis. No murmurs heard over abdomen. [leocecal re- gion bulges a little. Percussion over this region dull to dull- tympanitic. No free fluid made out. Bowels moved several times first night; after this no more movements, not even gas. No result from enema. Vomiting constant. Liver dullness demonstrable. Mass felt in left hypogastrium. Lungs, heart and rectal examination negative. Urine acid, yellow color, slight amount of albumin, indo] increased. Operation—Intestines above bladder adherent about pus pocket. This was opened and drained. Death. Temperature 37.9, pulse 140, respiration 28. . Autopsy.—Peritonitis. Infarct of lower jejunum and upper ileum from embolus in superior mesenteric artery. Lower mesenteric veins also thrombosed. DELATOUR.—-Man, 31 years. Frequent hematemesis, chronic splenic tumor, spleen removed by operation, the vessels being ligatured at the hilum. Two days after, double pneumonia, constipation. On the twenty-third day after operation sud- den abdominal pain, violent vomiting, increased temperature, abdomen distended; collapsed and died in twenty-four hours. Autopsy.—Bloody fluid in abdominal cavity. Whole middle third of small intestine blackish red. No peritonitis. Clot. in splenic vein extending downward and blocking both inferior and superior mesenteric veins. DINKLER.—Old man. Sick two days. Diagnosis, intestinal ceatarrh. Fourteen hours after entrance died, with signs of in- testinal obstruction or paralysis. Autopsy.—Dilatation and hypertrophy of heart. Marked atheroma. Dissecting aneurism of ascending aorta. Intercos- tal and celiac axis torn and thrombosed. Intestinal symp- toms were caused by closure of superior mesenteric. DreyFous.—Man, 52 years. Alcoholic. Ascites, with fre- quent aspiration. Cirrhosis of liver. Eight days after the last aspiration had general pain in abdomen. Bilious vomit- ing and dyspnea. No blood in vomitus or stools. Dullness and mass in right iliac fossa painful on pressure, and separated from liver by area of tympanites. Death that night.](https://iiif.wellcomecollection.org/image/b32766634_0072.jp2/full/800%2C/0/default.jpg)
