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E. TRUMAN MAYS, MD; CHARLES K. SERGEANT, MD

AMA Arch Surg. 1965;91(1):58-66.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

CASE REPORTS of severe abdominal pain following resections of coarctation of the aorta began to appear in 1951,¹ some six years after Crafoord and Nylin² and Gross and Hufnagel³ simultaneously initiated the surgical correction of this congenital lesion. In 1953, Sealy⁴ reported the performance of a laparotomy for an abdominal complication which occurred on the sixth day after resection of the coarcted segment. At surgery, the jejunum and first portion of the ileum were edematous and cyanotic. The patient died during the exploration, and at autopsy there was inflammation of the small arteries and arterioles confined to the body area below the coarctation.

Ring and Lewis⁵ first applied the term "syndrome" to these ever-increasing abdominal complications. There has evolved a well-defined clinical entity which consists of abdominal pain, distention, fever, leukocytosis, and melena occurring on or about the fourth postoperative day, predominantly in males who . . . [Full Text PDF of this Article]

Author Affiliations
LOUISVILLE

From the Department of Surgery, University of Louisville School of Medicine and the Children's Hospital. Instructors in Surgery, University of Louisville School of Medicine (Drs. Mays and Sergeant).

Footnotes
Read before the 22nd Annual Meeting of the Central Surgical Association, Milwaukee, March 4-6, 1965.

Reprint requests to 511 S Floyd St, Louisville, Ky 40202 (Dr. Mays).

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