Mesenteric ischemia historical perspective

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Case #1

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Feham Tariq, MD [2]


In 1936, Dunphy was the first one to establish an association between mesenteric artery occlusion and bowel infarction.

Historical Perspective


  • In 1936, Dunphy was the first one to establish an association between mesenteric artery occlusion and bowel infarction.[1][2]
  • In 1843, Tiedemann described mesenteric occlusion and bowel infarction, followed by Virchow who added two more patients to the literature.
  • In 1887, Welch proposed that ischemic bowel changes occur secondary to 80% stenosis of superior mesenteric artery (SMA).
  • In 1904, Jackson, Parker, and Quinby stated that both arterial and venous occlusion of the mesenteric circulation can lead to mesenteric ischemia.
  • In 1913, Trotter studied 359 cases of infarcted bowel. He explained a relationship between cardiac diseases and embolus to the SMA. He also elaborated a connection between arteriosclerosis of the aorta and thrombosis of mesenteric vessles.
  • In 1921, Klein wrote a thesis on embolism and thrombosis, in which he pointed out a relationship between SMA stenosis and episodic abdominal pain.
  • The first book written on all aspects of mesenteric ischemia named 'Vascular Disorders of the Intestines' got published in 1971 was edited by Boley, Schwartz, and Williams.[3]

Landmark Events in the Development of Treatment Strategies

  • Until 1967, mesenteric ischemia was a diagnostic dilemma.[4][5][5][6][7]
  • Aarhus and Brabrand were the first ones to propose angiography as a diagnostic tool for SMA occlusion.
  • Britt, Cheek, and Wittenberg included angiography as their management plan in 1967.
  • In 1980, endovascular treatment of mesenteric disease was introduced.

Impact on Cultural History

Famous Cases

The following are a few famous cases of disease name:


  1. Cariello L, D'Aniello A, Makar AB, McMartin KE, Palese M, Tephly TR (1975). "Isolation and characterization of four toxic protein fractions from the sea anemone Anemonia sulcata". Toxicon. 13 (5): 353–7. PMID 1875.
  2. Bergan, John J. (1967). "Recognition and Treatment of Intestinal Ischemia". Surgical Clinics of North America. 47 (1): 109–126. doi:10.1016/S0039-6109(16)38137-3. ISSN 0039-6109.
  3. Boley SJ, Brandt LJ, Sammartano RJ (1997). "History of mesenteric ischemia. The evolution of a diagnosis and management". Surg Clin North Am. 77 (2): 275–88. PMID 9146712.
  4. Harper DR, Buist TA (1978). "Selective angiography in acute mid-gut ischaemia". Gut. 19 (2): 132–6. PMC 1411821. PMID 631629.
  5. 5.0 5.1 Yamada, Kei; Saeki, Mitsuaki; Yamaguchi, Toshio; Taira, Makiko; Ohyama, Yukio; Ashida, Hiroshi; Sakuyama, Keiko; Ishikawa, Toru (1998). "Acute mesenteric ischemia". Clinical Imaging. 22 (1): 34–41. doi:10.1016/S0899-7071(97)00071-5. ISSN 0899-7071.
  6. Corder AP, Taylor I (1993). "Acute mesenteric ischaemia". Postgrad Med J. 69 (807): 1–3. PMC 2399586. PMID 8446545.
  7. Hmoud B, Singal AK, Kamath PS (2014). "Mesenteric venous thrombosis". J Clin Exp Hepatol. 4 (3): 257–63. doi:10.1016/j.jceh.2014.03.052. PMC 4284291. PMID 25755568.