This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Citing articles on Web of Science (19)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

With a Note on Hepatic Hypoglycemia as a Possible Aid in Diagnosis

ROBERT K. BRAWLEY, MD; WILLIAM C. ROBERTS, MD; ANDREW G. MORROW, MD

AMA Arch Surg. 1966;92(3):374-378.

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

GASTROINTESTINAL hemorrhage and necrosis may result from intestinal ischemia secondary to inadequate cardiac output and increased splanchnic vascular resistance.* A variety of conditions, including severe congestive heart failure, acute myocardial infarction, shock, cardiac arrhythmias, and extensive operative procedures, may precipitate intestinal ischemia. The clinical manifestations which accompany this process are determined by the degree of mesenteric vascular insufficiency and range from transient abdominal angina, nausea, and diarrhea to signs of a perforated viscus. The abdominal symptoms and signs resulting from intestinal ischemia are, however, often obscured by the presence of serious disturbances of the nervous and cardiovascular systems. Detailed descriptions of patients who have developed severe abdominal pain secondary to nonobstructive mesenteric arterial insufficiency are unusual. This report describes the clinical, operative, and pathologic findings in such a patient, who had rheumatic mitral stenosis and congestive heart failure.

Report of Case

Clinical Summary.

—A 41-year-old woman, who had acute rheumatic . . . [Full Text PDF of this Article]

Author Affiliations
BETHESDA, MD

From the Clinic of Surgery, National Heart Institute, National Institutes of Health, Bethesda.

Footnotes
Submitted for publication Dec 7, 1965.

Reprint requests to National Heart Institute, National Institutes of Health, Bethesda, Md 20014 (Dr. Morrow).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?