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- W2022201280 abstract "Aneurysm of the aorta is still comparatively frequent, although there is a popular impression that the condition is rare as a result of the introduction of arsenical and bismuth treatment of syphilis. The following two cases show several unusual and instructive features. An unmarried female, aged 70, attended the out-patient department of Westminster Hospital complaining of severe abdominal pain and vomiting She was obviously anæmic and had lost weight, hence she was referred for barium meal examination as a suspected case of carcinoma of the stomach. Routine screen examination of the chest showed gross aneurysmal dilatation of the thoracic aorta with extensive atheromatous plaques. The left ventricle was enlarged. The œsophagus and trachea were not displaced. Oblique and lateral views of the chest showed that the aorta was not only dilated but was also considerably elongated and kinked. A complete gastro-intestinal examination showed no abnormality, but on one of the films a small aneurysm of the abdominal aorta was noticed. The patient was admitted to hospital, and clinical examination revealed practically every text-book sign of aortic aneurysm and aortic regurgitation. The abdominal aneurysm was also palpable in the region of the umbilicus. The Wassermann reaction was strongly positive; the blood picture was characteristic of pernicious anæmia, and a test-meal showed achlorhydria. The patient was treated with mercury and iodides for the syphilis, and liver and stomach extract for the anæmia. She was discharged considerably improved." @default.
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- W2022201280 date "1935-11-01" @default.
- W2022201280 modified "2023-10-14" @default.
- W2022201280 title "Two Unusual Aneurysms" @default.
- W2022201280 doi "https://doi.org/10.1259/0007-1285-8-95-714" @default.
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