Volvulus of the small intestine due to a Meckel's diverticulum

✍ Scribed by Rodney Smith

• Publisher: John Wiley and Sons
• Year: 1945
• Tongue: English
• Weight: 232 KB
• Volume: 32
• Category: Article
• ISSN: 0007-1323
• DOI: 10.1002/bjs.18003212818

✦ Synopsis

vena cava and the overlying peritoneum not being superimposed, but it would seem possible that the intra-abdominal pressure is also a factor, rigidity of the abdominal muscles being present and the shock causing a considerable fall in blood-pressure. When an abdomen has been opened, before a retroperitoneal hamorrhage is explored, provision should be made for blood transfusion, adequate access to the site of injury, and good illumination, and the requisite suture materials (fine vaselined silk) prepared.

SUMMARY

I. Nine cases of recovery following injury to the inferior vena cava have been recorded.

2. Intra-abdominal or retroperitoneal hamorrhage is not usually large i n amount.

3. Manipulations by the surgeon in verifying

the site of the lesion cause profuse haemorrhage.

4. Ligature of the inferior vena cava below the renal vein may be safely resorted to in a difficult case.

If a retroperitoneal hamorrhage is discovered during the course of a laparotomy, it should not b e explored until preparation has been made for control of profuse hemorrhage from the injured vessel.