Aneurysm of the Abdominal Aorta: A Study of 73 Cases

Intrasaccular Wiring of Abdomixalarterio- Sclerotic Aortic Aneurysms By the "Pack" Method

“…It would appear that for syphilitic aneurysms, it varies with the prevalence of syphilis in the region from which the cases are collected as has been pointed out by others (14,19). Kampmeier (11) reported a known incidence of the syphilitic type in fifty-seven per cent of his series of sixty-eight cases. It undoubtedly would have been higher if serological tests had been performed in all his cases since only nine of them were over fiftyfive years of age, the period when arteriosclerotic aneurysms appear most frequently, and furthermore, approximately eighty per cent of the sixty-eight cases were of the colored race in whom the incidence of syphilis tends to be high, as pointed out by Scott (19).…”

Re-opening the Case of the Abdominal Aortic Aneurysm

“…On the basis of pathological findings it does appear that there has been some decrease in the number of syphilitic abdominal aneurysms but that this is much less significant thani might be concluded from a casual study of the figures alone. For a review of this trend and the problems of analysis as outlined above the reader is referred to the papers of Kampmeier (1936) Wilcox and Fisher"3 described a case of particular interest. A 54 year old woman developed a streptococcus viridans subacute bacterial endocarditis.…”

“…or more a day, since dehydration encourages thrombosis. 6. The electrolyte balanice should be controlled carefully.…”

“…Roentgenography studies, both with standard techniques, and visualization with contrast media, are usually helpful in confirming the diagnosis. 6. Each case should be analyzed in terms of suitability for surgery and the great majority can be successfully operated upon.…”

Circulatory Problems of Surgical Importance in the Diagnosis of Abdominal Lesions

“…The most frequent combination is the erosion of the twelfth dorsal and first lumbar segments. 48 We H. T., colored, female, age 4I, was admitted to the hospital, complaining of a sudden, severe, agonizing abdominal pain. Vomiting occurred soon after the onset which was later bloody and was attended by collapse.…”