The acute pain of the dissecting aneurysm and the leak ing saccular aneurysm is the pain most likely to be mis diagnosed as one of the more usual types of acute abdo minal emergency. The intense abdominal pain may mimic that of acute pancreatitis, perforated peptic ulcer, or mesen teric vascular occlusion. In such a case radiation of the pain into the loins, neck, or lower extremities may be signi ficant. Previous symptoms of cardiovascular disease are usually absent, although the presence of hypertension may be suggestive. The problem of the case which presents with extravasa tion at the hernial orifices is well illustrated in our two cases.

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