THE CLINICAL PICTURE OF ANEURYSM OF THE ABDOMINAL AORTA
Authors: C D ENSELBERG
Journal: Annals of Internal Medicine (1956)

Article1 June 1956THE CLINICAL PICTURE OF ANEURYSM OF THE ABDOMINAL AORTACHARLES D. ENSELBERG, M.D., F.A.C.P.CHARLES D. ENSELBERG, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-44-6-1163 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptAlthough aneurysms (chiefly traumatic) were known to Galen, discussions of this subject in the medical literature began to increase in the 16th Century along with the increasing appearance of syphilis. Abdominal aneurysms were described by Fernelius in 1542 and by Vesalius in 1595.2, 3Lancisi4in 1728 observed the relationship between syphilis and aneurysm, and published clinical and pathologic descriptions of ruptured abdominal aortic aneurysm. Monro,5describing a case he saw in 1760, wrote: "At that time he was troubled with a hiccup, which had begun the day before I saw him. The pain of his belly was almost constant,...Bibliography1. Klotz O: Concerning aneurysms, U. of Toronto Studies, Path. Series, No. 7, 1926. Google Scholar2. Erichsen JE: Observations on aneurism, 1844, The Sydenham Society, London. Google Scholar3. Osler W: Aneurysm of the abdominal aorta, Lancet 2: 1089, 1905. CrossrefGoogle Scholar4. Lancisi GM: De Aneurysmatibus, Rome, 1745, revised and translated by W. C. Wright, 1952, Macmillan Co., New York. Google Scholar5. Monro D: Cases of aneurisms, with remarks. Essays and observations, physical and literary, Edinburgh 1771. Google Scholar6. Nixon JA: Abdominal aneurysm in a girl aged twenty due to congenital syphilis, with tables of collected cases of abdominal aneurysm, St. Barth. Hosp. Rep. 17: 43, 1912. Google Scholar7. LuckeRea BMH: Studies on aneurysm. I. General statistical data on aneurysms, J. A. M. A. 77: 935, 1921. CrossrefGoogle Scholar8. Kampmeier RH: Aneurysm of the abdominal aorta: a study of 73 cases, Am. J. M. Sc. 192: 97, 1936. CrossrefGoogle Scholar9. MillsHorton JHBT: Clinical aspects of aneurysm, Arch. Int. Med. 62: 949, 1938. CrossrefGoogle Scholar10. SaleebyMcCarthy ERPA: Aneurysms. A statistical study of 84 cases from the surgical department of the Philadelphia General Hospital, Pennsylvania M. J. 41: 969, 1938. Google Scholar11. HubenyPollak MJS: Saccular abdominal aortic aneurysm. An analysis of forty-eight cases, Am. J. Roentgenol. 43: 385, 1940. Google Scholar12. RuffinCastlemanWhite MdBPD: Arteriosclerotic aneurysms and senile ectasia of the thoracic aorta, Am. Heart J. 22: 458, 1941. CrossrefGoogle Scholar13. Scott V: Abdominal aneurysms. A report of 96 cases, Am. J. Syph., Gonor. and Ven. Dis. 28: 682, 1944. Google Scholar14. Uhle CA: The significance of aneurysm of the abdominal aorta masquerading as primary urologic disease, J. Urol. 45: 13, 1941. CrossrefGoogle Scholar15. Karabin JE: Retroperitoneal hemorrhage with special reference to the accompanying paralytic ileus, Am. J. Surg. 56: 471, 1942. CrossrefGoogle Scholar16. EliasonMcNamee ELHG: Abdominal aneurysm. A report of twenty four cases, Am. J. Surg. 56: 590, 1942. CrossrefGoogle Scholar17. Pratt-Thomas HR: Aneurysm of the abdominal aorta. An analysis of 17 cases, J. South Carolina M. A. 40: 251, 1944. Google Scholar18. Epstein J: Aneurysms of the abdominal aorta, Ann. Int. Med. 22: 252, 1945. LinkGoogle Scholar19. Estes JE: Abdominal aortic aneurysm: a study of one hundred and two cases, Circulation 2: 258, 1950. CrossrefMedlineGoogle Scholar20. Gold H: Abdominal aortic aneurysm, Canada. M. A. J. 65: 427, 1951. MedlineGoogle Scholar21. HirschowitzBagg BIL: Aneurysm of the abdominal aorta with a report of four unusual cases, Gastroenterology 18: 361, 1951. CrossrefMedlineGoogle Scholar22. DeTakatsMarshall GMR: Surgical treatment of arteriosclerotic aneurysms of the abdominal aorta, Arch. Surg. 64: 307, 1952. CrossrefGoogle Scholar23. ManigliaGregory RJE: Increasing incidence of arteriosclerotic aortic aneurysms. Analysis of six thousand autopsies, Arch. Path. 54: 298, 1952. Google Scholar24. Baird IM: Saccular aneurysms of the abdominal aorta. Report of three cases and review, Arch. Int. Med. 91: 626, 1953. CrossrefGoogle Scholar25. CooleyDeBakey DAME: Surgical considerations of excisional therapy for aortic aneurysms, Surgery 34: 1005, 1953. MedlineGoogle Scholar26. Copping GA: Spontaneous rupture of abdominal aorta, J. A. M. A. 151: 374, 1953. MedlineGoogle Scholar27. CowleyYeager RAGH: Treatment of aneurysms with follow-up studies on dicetyl phosphate, Surgery 34: 1032, 1953. MedlineGoogle Scholar28. Bahnson HT: Treatment of abdominal aortic aneurysm by excision and replacement by homograft, Circulation 9: 494, 1954. CrossrefMedlineGoogle Scholar29. BlakemoreVoorhees AHAB: Aneurysm of the aorta: a review of 365 cases, Angiology 5: 209, 1954. CrossrefMedlineGoogle Scholar30. Bryant JH: Aneurysm of the abdominal aorta, Clin. J. 23: 71, 89, 1903. Google Scholar31. CranleyHerrmannPreuninger JJLGRM: Natural history of aneurysms of the aorta, Arch. Surg. 69: 185, 1954. CrossrefGoogle Scholar32. DeTakatsPirani GCI: Aneurysms: general considerations, Angiology 5: 173, 1954. CrossrefMedlineGoogle Scholar33. Blakemore AH: The clinical behavior of arteriosclerotic aneurysm of the abdominal aorta: a rational surgical therapy, Ann. Surg. 126: 195, 1947. CrossrefMedlineGoogle Scholar34. KlotzSimpson OW: Spontaneous rupture of the aorta, Am. J. M. Sc. 184: 455, 1932. CrossrefGoogle Scholar35. AntzisDunnSchilero EJAJ: Rupture of abdominal aneurysm into the gastrointestinal tract, Am. J. Med. 11: 531, 1951. CrossrefMedlineGoogle Scholar36. ViarLombardo WNTA: Abdominal aortic aneurysm with rupture into the inferior vena cava, Circulation 5: 287, 1952. CrossrefMedlineGoogle Scholar37. DubostAllaryOeconomos CMN: Anévrysme de l'aorte abdominale traité par resection et greffe, Arch. d. mal. du cœur 44: 848, 1951. MedlineGoogle Scholar38. Boyd DP: Surgical treatment of abdominal aortic aneurysms, Lahey Clin. Bull. 9: 6, 1954. MedlineGoogle Scholar39. CooleyDeBakey DAME: Ruptured aneurysms of the abdominal aorta. Excision and homograft replacement, Postgrad. Med. 16: 334, 1954. CrossrefMedlineGoogle Scholar40. DeBakeyCooley MEDA: Surgical treatment of aneurysm of abdominal aorta by resection and restoration of continuity with homograft, Surg., Gynec. and Obst. 97: 257, 1953. MedlineGoogle Scholar41. FreemanLeeds NEFH: Resection of aneurysms of the abdominal aorta with anastomosis of the splenic to the left iliac artery, Surgery 34: 1021, 1953. MedlineGoogle Scholar42. Mahorner H: Editorial, the treatment of aortic aneurysms, Surg., Gynec. and Obst. 100: 110, 1955. MedlineGoogle Scholar43. SchlossKaplan WABJ: Spontaneous extravasation from the ureter secondary to aneurysm of the abdominal aorta, New England J. Med. 249: 802, 1953. CrossrefMedlineGoogle Scholar44. Petersen GF: Atherosclerosis of the abdominal aorta, Acta radiol. 37: 356, 1952. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: New York, N. Y.*Read at the Twenty-eighth Scientific Session, American Heart Association, New Orleans, October 24, 1955. Received for publication January 17, 1956.From the Department of Cardiology, New York Polyclinic Medical School and Hospital, and the Medical Division, Montefiore Hospital, New York, N. Y. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byAn Unusual Case of Testicular PainReferred scrotal painThe blue scrotum sign of Bryant: A diagnostic clue to ruptured abdominal aortic aneurysmRuptured abdominal aortic aneurysm causing obstructive jaundiceAneurysmen 1 June 1956Volume 44, Issue 6Page: 1163-1181KeywordsAbdominal aortic aneurysmAbdominal painAneurysmsAortaHeartHemorrhageHipReflexesSyphilisUreter ePublished: 1 December 2008 Issue Published: 1 June 1956 PDF downloadLoading ...