Transmural infarction of Intestines

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General Surgery Medical Student: Usmle Boards Parts II & Iii, Pearls of Wisdom (Parts II and III)The correct Answer is C

Bowel infarction results from ischemia of the intestines, caused either by mechanical obstruction to blood flow (eg, arterial thrombosis or embolism from the heart, volvulus, stricture) or by reduced perfusion (eg, cardiac failure, shock).

Transmural infarction (all layers of the gut wall) usually follows mechanical obstruction to blood flow.

Occlusion of the origin of any of the three main arterial supplies (Coeliac, Superior Mesenteric, Inferior Mesenteric) will lead to transmural infarction.

The superior mesenteric artery is most prone to thrombosis and embolism. Disease leads to transmural infarction which accounts for about 50% of mesenteric ischaemia .



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