LETHAL factors associated with the operation of closed intestinal loop of the small intestine in dogs are known to be complex, and a number of factors may require to be operative before the final and usually irreversible episode of shock supervenes (Weipers, Harper and Warrack, 1964).There is a general recognition that the shock syndrome that develops is similar in nature to that produced by other causes such as the presence of endotoxin or protracted haemorrhage with hypotension. It appears in all these to be associated with the action of increased catecholamine output, extensive vasoconstriction and the sequence of cardiovascular events associated with anoxia of the intestine terminating rapidly in death. The post-mortem lesions in dogs are characterised by haemorrhage, ulceration and necrosis of the mucous membrane of the small intestine (Lillehei et al., 1964). Surgery, 43, 595. This Journal, 74, 185.
AddendumRecent work has shown that an injection of cell-free peritoneal fluid from cases of intestinal obstruction, given over a period of a few hours, may be lethal. The finding that bacteria have an important part to play in the lethal effect of injected peritoneal fluid may apply only when a single injection is given.