Venous Mesenteric Thrombosis

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RECOVERY from venous mesenteric thrombosis is rare. D’Abreu and Humble1 state that the prognosis in thrombosis of the mesenteric arteries is more favorable than in cases involving the veins.

The case reported here demonstrates the following unusual features: (1) recovery from venous mesenteric thrombosis, (2) construction of an artificial external anastomosis of the small bowel, and (3) use of a spur clamp on the small intestine with subsequent closure as in a Mikulicz resection.

Case Report

An obese white man, aged 60, was admitted to the Cleveland Clinic Hospital on July 29. 1947, with sharp pain in the right upper quadrant of the abdomen. Four months prior to admission he had experienced intermittent, dull, aching pain in the lower quadrant of the abdomen, and one month before admission he had entered another hospital because of sudden, severe, sharp, intermittent, midabdominal pain. No definite diagnosis was established, and the patient gradually improved and was discharged two weeks later. Ten days prior to admission he had had severe diarrhea without blood or mucus which lasted three days. The bowel habit was normal at the time of admission.

On physical examination the temperature was 101.3 F., pulse 110, respirations 28, and blood pressure 120 systolic, 80 diastolic. The upper portion of the abdomen was hyper-resonant and the lower portion dull. A large mass was palpable in the right lower quadrant. Peristalsis was present, but sounds were infrequent. Laboratory studies did not reveal any abnormalities except a white blood count of 9300 with 87. . .



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