Abstract
To the Editor:— Rupture of an abdominal aortic aneurysm into the inferior vena cava is a rare occurrence usually accompanied by dramatic symptoms. Of 11 patients described by Beall et al, 1 all except two had pain in the abdomen, back, or lower extremities; eight had swelling of the lower extremities; nine had a pulsating abdominal mass; ten had an abdominal murmur; and only four had cardiac decompensation. The intriguing aspects of the case presented here are the few symptoms, the conspicuous absence of pain, and the scarcity of physical findings during the early stages of the disease. Report of a Case:— A 60-year-old man was admitted to the hospital at 10:30 PM on Jan 24, 1967, because of nausea and vomiting, headache, and numbness or cramps in the legs for the past few days. He also complained of insomnia and restlessness. The history was noncontributory. Review of systems revealed
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