Intestinal Infarction Without Mesenteric Vascular Occlusion
Authors: BYRON U. MUSA
Journal: Annals of Internal Medicine (1965)

Article1 November 1965Intestinal Infarction Without Mesenteric Vascular OcclusionA Report of 31 CasesBYRON U. MUSA, M.D.BYRON U. MUSA, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-63-5-783 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptInfarction of the bowel without occlusion of the mesenteric arteries is well documented. Penner and Bernheim (1) in 1939 described necrosis of intestinal mucosa developing postoperatively in 40 patients in whom no disease of mesenteric vasculature could be demonstrated. The authors attributed these findings to circulatory collapse. They cited evidence that experimental shock in dogs resulted in intestinal infarction. This has been confirmed by recent studies (2, 3) and has been cited as evidence to implicate bowel ischemia as one of the causes of irreversible shock (4). This is a report of 31 patients with bowel infarction without demonstrable mesenteric...References1. PENNERBERNHEIM AAI: Acute postoperative enterocolitis; a study on the pathologic nature of shock. Arch. Path. (Chicago) 27: 966, 1939. Google Scholar2. LILLEHEI RC: The intestinal factor in irreversible shock. Surgery 42: 1043, 1957. MedlineGoogle Scholar3. CORDAYIRVINGGOLDBERNSTEINSKELTON EDWHHBR: Mesenteric vascular insufficiency. Intestinal ischemia induced by remote circulatory disturbances. Amer. J. Med. 33: 365, 1962. CrossrefMedlineGoogle Scholar4. MARSTON A: The bowel in shock. The role of mesenteric arterial disease as a cause of death in the elderly. Lancet 2: 365, 1962. CrossrefMedlineGoogle Scholar5. FINKBINERDECKER RBJP: Ulceration and perforation of the intestine due to necrotizing arteriolitis. New Eng. J. Med. 268: 14, 1963. CrossrefGoogle Scholar6. KLECKNERBARGENBAGGENSTOSS MSJAAH: Pseudomembranous enterocolitis. 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To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Minneapolis, MinnesotaFrom the Department of Medicine, Veterans Administration Hospital and the University of Minnesota Medical School, Minneapolis, Minn.Requests for reprints should be addressed to Byron U. Musa, M.D., Metabolic Research Laboratory, Veterans Administration Hospital, 54th St. and 48th Ave., Minneapolis, Minn. 55417. 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