ACUTE MESENTERIC INFARCTION

Publisher Website
Google Scholar
Abstract
1. A review of the plain roentgenograms of 68 patients with acute, irreversible mesenteric infarction revealed "specific" roentgenologic signs of ischemic mucosal edema in 41 (60 per cent); intramural air was present in 11 (15 per cent). This is a considerably higher incidence than has previously been reported. Four ischemic mucosal patterns were distinguished. 2. The incidence of "specific" roentgenologic signs was directly related to the extent of mesenteric infarction. 3. "Pseudo-obstruction" of the small bowel was the most common nonspecific roentgenologic sign and was present in onehalf of all patients. 4. Emergency upper gastrointestinal examination is of value in identifying the earliest changes of ischemia. Preoperatively the "leading edge" of the common, massive infarction is demonstrated. Postoperatively the viability of the residual bowel segment can be further evaluated.

This publication has 0 references indexed in Scilit: