Abstract
Two cases of superior mesenteric arterial embolism are presented. The diagnosis should be suspected when severe abdominal pain develops suddenly in a patient with a cardiac arrhythmia or a recent history of myocardial infarction. Further support for the diagnosis is given by the finding of a poor peripheral circulation and a paucity of abdominal physical signs. The value of arteriography is questionable except to distinguish between thrombosis and embolism. The importance of early laparotomy as a diagnostic and life-saving measure is emphasized.
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- Currie D. J. Continuous peritoneal lavage. Surg Gynecol Obstet. 1972 Dec;135(6):951–952. [PubMed] [Google Scholar]
- FOGARTY T. J., CRANLEY J. J., KRAUSE R. J., STRASSER E. S., HAFNER C. D. A method for extraction of arterial emboli and thrombi. Surg Gynecol Obstet. 1963 Feb;116:241–244. [PubMed] [Google Scholar]
- Lefer A. M., Cowgill R., Marshall F. F., Hall L. M., Brand E. D. Characterization of a myocardial depressant factor present in hemorrhagic shock. Am J Physiol. 1967 Aug;213(2):492–498. doi: 10.1152/ajplegacy.1967.213.2.492. [DOI] [PubMed] [Google Scholar]
- Lefer A. M., Martin J. Origin of myocardial depressant factor in shock. Am J Physiol. 1970 May;218(5):1423–1427. doi: 10.1152/ajplegacy.1970.218.5.1423. [DOI] [PubMed] [Google Scholar]
- Lovett W. L., Wangensteen S. L., Glenn T. M., Lefer A. M. Presence of a myocardial depressant factor in patients in circulatory shock. Surgery. 1971 Aug;70(2):223–231. [PubMed] [Google Scholar]
- McKenna J. P., Currie D. J., MacDonald J. A., Mahoney L. J., Finlayson D. C., Lanskail J. C. The use of continuous postoperative peritoneal lavage in the management of diffuse peritonitis. Surg Gynecol Obstet. 1970 Feb;130(2):254–258. [PubMed] [Google Scholar]
- Ottinger L. W., Austen W. G. A study of 136 patients with mesenteric infarction. Surg Gynecol Obstet. 1967 Feb;124(2):251–261. [PubMed] [Google Scholar]
- Provan J. L., Ransford A. O. The role of the Fogarty embolectomy catheter in the treatment of arterial embolism of the limbs. Br J Surg. 1970 Jan;57(1):59–62. doi: 10.1002/bjs.1800570114. [DOI] [PubMed] [Google Scholar]
- SHAW R. S., RUTLEDGE R. H. Superior-mesenteric-artery embolectomy in the treatment of massive mesenteric infarction. N Engl J Med. 1957 Sep 26;257(13):595–598. doi: 10.1056/NEJM195709262571303. [DOI] [PubMed] [Google Scholar]
- Sasser C., Farringer J. L., Jr, Pickens D. R., Jr Superior mesenteric artery embolectomy. Am Surg. 1971 Jun;37(6):319–327. [PubMed] [Google Scholar]