PT  - JOURNAL ARTICLE
AU  - John Fry
TI  - Acute superior mesenteric artery occlusion: problems of pre-operative diagnosis
DP  - 1979 Sep 01
TA  - The Journal of the Royal College of General Practitioners
PG  - 517--518
VI  - 29
IP  - 206
4099  - http://bjgp.org/content/29/206/517.short
4100  - http://bjgp.org/content/29/206/517.full
SO  - J R Coll Gen Pract1979 Sep 01; 29
AB  - I report five cases of occlusion of the superior mesenteric artery from one general practice; four of these occurred in one year. The common clinical features were: acute diarrhoea and vomiting in elderly persons (all over 70) with abdominal pain and distension and shock. All had a previous history of auricular fibrillation and cardiac failure and past episodes of clinical arterial occlusive disorders had been experienced by four. Each diagnosis was confirmed at operation and all five patients died. It is important for general practitioners to recognize this syndrome.