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Intestinal Infarction Without Mesenteric Vascular Occlusion: A Report of 31 Cases

Ann Intern Med. 1965;63(5):783-792. doi:10.7326/0003-4819-63-5-783
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Infarction 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


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