Mesenteric Venous Thrombosis with Operation and Cure

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Mesenteric vascular occlusion is considered by most authorities to be a relatively rare disease. This condition was first described by Triedman in 1843 and Virchow described its pathology in 1847 but not until 1895 when Elliott reported his case was operation first carried out successfully. Since 1895 there have accumulated numerous case reports, classifications, and theories regarding its etiology, frequency, and symptomatology. The purpose of this paper, however, is not to review the literature but to report a case which presented an interesting problem in diagnosis and treatment.

Report of Case

The patient was a white, married man, 39 years of age, whose occupation was inspector of golf clubs. He entered the Clinic on Dr. William J. Engel’s service complaining chiefly that rather severe, constant pain in the epigastrium had been present for 20 hours.

Present Illness: About 20 hours previously, while working, this patient had a sudden attack of acute pain in the upper part of the abdomen; the pain did not radiate but remained localized. It was not colicky in nature and within a few minutes subsided to a dull ache. Since the onset, he had experienced acute exacerbations which necessitated morphine for its relief. There was no immediate associated nausea or vomiting but a few hours after the onset the patient stated that a small amount of the contents of the stomach had been vomited. There was no hematemesis. There was no previous history of stomach trouble or disease of the gallbladder. He had never been jaundiced. . .



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