Document Detail

Non-occlusive ischaemic enteritis.
MedLine Citation:
PMID:  2301896     Owner:  NLM     Status:  MEDLINE    
Non-occlusive infarction of the intestine without any associated medical disorder responsible for prolonged hypotension, is a rare clinical entity. A retrospective analysis of 46 cases revealed that the disease occurred predominantly in young, healthy, male patients. The classical presentation was of abdominal pain and persistent tachycardia out of proportion to the abdominal signs of distension, mild tenderness and reduced bowel sounds. The presenting features were of peritonitis due to perforation (63%) and intestinal obstruction (37%). A preoperative diagnosis was suspected only in six cases. Operative findings revealed that the bowel was infarcted without involvement of the mesenteric vessels, which were pulsatile up to the bowel wall. The characteristic findings of the disease, which mainly affected the jejunum (69.6%), were: (i) infarcted area of the bowel surrounded by skip lesions of purple, constriction bands; (ii) multiple small perforations in a paper-thin bowel: or (iii) a long linear perforation. Histologically, ischaemic changes were found to affect the mucosa and submucosa beyond the macroscopic limits. Mortality was high (19.6%).
A K Sarda; M Mathur; M Kapur
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of the Royal College of Surgeons of England     Volume:  72     ISSN:  0035-8843     ISO Abbreviation:  Ann R Coll Surg Engl     Publication Date:  1990 Jan 
Date Detail:
Created Date:  1990-03-02     Completed Date:  1990-03-02     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  7506860     Medline TA:  Ann R Coll Surg Engl     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  18-21     Citation Subset:  IM    
Department of Pathology, All India Institute of Medical Sciences, New Delhi.
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MeSH Terms
Enteritis / pathology,  surgery
Ileitis / pathology,  surgery*
Infarction / pathology,  surgery
Intestine, Small / blood supply*,  pathology
Ischemia / pathology,  surgery*
Jejunal Diseases / pathology,  surgery*
Middle Aged
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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