| Non-occlusive ischaemic enteritis. | |
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MedLine Citation:
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PMID: 2301896 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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%). |
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Authors:
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A K Sarda; M Mathur; M Kapur |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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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:
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Created Date: 1990-03-02 Completed Date: 1990-03-02 Revised Date: 2009-11-18 |
Medline Journal Info:
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Nlm Unique ID: 7506860 Medline TA: Ann R Coll Surg Engl Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 18-21 Citation Subset: IM |
Affiliation:
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Department of Pathology, All India Institute of Medical Sciences, New Delhi. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Enteritis / pathology, surgery Female Humans Ileitis / pathology, surgery* Infarction / pathology, surgery Intestine, Small / blood supply*, pathology Ischemia / pathology, surgery* Jejunal Diseases / pathology, surgery* Male Middle Aged Retrospective Studies |
| Comments/Corrections | |
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