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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![thrombosed. Some cirrhosis. No constricting band; no fecal matter in intestines. Slight chronic peritonitis. L&prine.—Man, 40 years. Admitted for intense abdominal neuralgia. For past five years has had intensely painful ab- dominal crises, with watery vomiting, coming on at long inter- vals. These have become more and more frequent and vio- lent, till they now occur nearly every day. Anorexia. Slight » edema of feet. No motor or sensory trouble with legs. Pain in hypogastrium. Marked tenderness. Abdomen tympanitic. No diarrhea. Increasing respiration. Pulse 120. Was found beside his bed, collapsed. Died rapidly. Autopsy.—Abundant hemorrhage in pelvis. Intestine con- tains more than 1] liter of thin blood. Sixty cm. below duo- denum to cecal valve, mucous membrane shows hemorrhagic infiltration in spots; no uleer. Many calcified glands in mesentery. One of these glands presses on a branch of the superior mesenteric artery, which is here blocked by an old clot. Main trunk of the artery free. Other organs normal. Author considers clot and pains due to compression by this gland. There was no gangrene of intestine. LEREBOULLET.—Man, 53 years. A long time ago, dysentery ; later, endocarditis. Of late has had palpitation and dyspnea, which sent. him to hospital. Here had abundant gastrointes- tinal hemorrhage, causing syncope. Diagnosis at that time was mitral insufficiency and stenosis, with intestinal hemorrhages and hematemesis. Better in three months. Eight months later same sort of an attack. Bloody vomitus and stools. Debility and syncope. Moderate distension of abdomen. No spasm or tenderness. Lungs, stomach, liver and intestines all negative. Double heart murmur. Pulses equal. No atheroma of radials. Bloody stools and vomiting gradually stopped. Markedly bet- ter on the eighth day. Discharged well. LILIENTHAL.—Man, 50 years. Often has diarrhea. Slight dyspnea. Complains now of dyspnea, diarrhea and abdom- inal pain, which has been present four weeks. Pain in right iliae fossa, now radiates over whole abdomen. Loss of appe- tite, thirst and nausea. Liver not enlarged. Resistance all over epigastrium. No blood in diarrhea. Heart. not enlarged ; pulmonic second sound accentuated. Pulse regular, weak, small. Some atheroma of artery. Collapsed on evening of entrance. Area of dullness in hypogastrium at this time. One bloody dejection. Moribund. Operation.—Gut deeply blood stained and its vessels seemed to be filled with clots. Blood in ]umen. Autopsy.—Old tuberculosis at apex of lungs. Hypostatie pneumonia; myocarditis; duodenum normal. Rest of small intestine down to cecum, dark colored. Sharp line of de- mareation, both above and below. In superior mesenteric](https://iiif.wellcomecollection.org/image/b32766634_0092.jp2/full/800%2C/0/default.jpg)
