Summary
The interdependence of the superior and inferior mesenteric arterial systems in maintaining viability of the left colon and rectum in atherosclerotic patients is discussed.
The incidence of inferior mesenteric ostial stenosis or occlusion, in atheromatous aortas, and especially in atherosclerotic aneurysmal dilatation of the aorta, is stressed.
A case of gangrene of the distal two thirds of the transverse colon, left colon, rectum and anal canal, thought to be due to superior mesenteric vascular insufficiency is presented.
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References
Bernatz, P. E.: Necrosis of the colon following resection for abdominal aortic aneurysms. A.M.A. Arch. Surg.81: 373, 1960.
Bernstein, W. C. and E. F. Bernstein: Ischemic ulcerative colitis following inferior mesenteric arterial ligation. Dis. Colon & Rectum.6: 54, 1963.
Drummond, H.: The arterial supply of the rectum and pelvic colon. Brit. J. Surg.1: 677, 1914.
Edwards, E. A. and M. LeMay: Occlusion patterns and collaterals in arteriosclerosis of the lower aorta and iliac arteries. Surgery.38: 950, 1955.
Goligher, J. C.: The adequacy of the marginal blood-supply to the left colon after high ligation of the inferior mesenteric artery during excision of the rectum. Brit. J. Surg.41: 351, 1954.
Griffiths, J. D.: Surgical anatomy of the blood supply of the distal colon. Ann. Roy. Coll. Surgeons, England.19: 241, 1956.
Moore, T.: Mesenteric vascular occlusion. Brit. J. Surg.28: 347, 1941.
Morgan, C. N. and J. D. Griffiths: High ligation of the inferior mesenteric artery during operations for carcinoma of the distal colon and rectum. Surg., Gynec. & Obst.108: 641, 1959.
Shaw, R. S. and T. H. Green, Jr.: Massive mesenteric infarction following inferior mesenteric-artery ligation in resection of the colon for carcinoma. New England J. Med.248: 890, 1953.
Shaw, R. S. and E. P. Maynard, III: Acute and chronic thrombosis of the mesenteric arteries associated with malabsorption: A report of two cases successfully treated by thromboendarectomy. New England J. Med.258: 874, 1958.
Smith, R. F. and D. E. Szilagyi: Ischemia of the colon as a complication in the surgery of the abdominal aorta. A.M.A. Arch. Surg.80: 806, 1960.
Young, J. R., R. C. Britton, V. G. de Wolfe and A. W. Humphries: Intestinal ischemic necrosis following abdominal aortic surgery. Surg., Gynec. & Obst.115: 615, 1962.
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Wald, M. Gangrene of the distal two thirds of transverse colon, left colon, rectum and anal canal due to superior mesenteric vascular insufficiency. Dis Colon Rectum 7, 303–305 (1964). https://doi.org/10.1007/BF02630536
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DOI: https://doi.org/10.1007/BF02630536