The early diagnosis of ruptured abdominal aneurysm.

Abstract

Article1 April 1958THE EARLY DIAGNOSIS OF RUPTURED ABDOMINAL ANEURYSMRICHARD T. BEEBE, M.D., F.A.C.P., SAMUEL R. POWERS JR., M.D., EDWARD GINOUVES, M.D.RICHARD T. BEEBE, M.D., F.A.C.P.Search for more papers by this author, SAMUEL R. POWERS JR., M.D.Search for more papers by this author, EDWARD GINOUVES, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-48-4-834 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptSudden rupture of a saccular aneurysm of the abdominal aorta is no longer a necessarily fatal condition. Successful resection of ruptured aneurysms has been reported, although the number of survivals is still small.1, 2Accurate, early diagnosis can markedly reduce both the immediate mortality and the late deaths, which are principally due to distal tubular necrosis. This report deals with three diagnostic aids which have not been sufficiently stressed but are frequently helpful in arriving at an early diagnosis. These aids consist of ecchymosis in the lower abdomen or perineum,3loss of deep tendon reflexes in the lower extremities,4and...Bibliography1. CooleyDeBakey DAME: Ruptured aneurysms of the abdominal aorta: excision and homograft replacement, Postgrad. Med. 16: 334, 1954. CrossrefMedlineGoogle Scholar2. JavidDyeGroveJulian HWSWJOC: The resection of ruptured aneurysms of the abdominal aorta, Ann. Surg. 142: 613, 1955. CrossrefMedlineGoogle Scholar3. GreenSaphir RO: Ecchymosis of the abdominal wall as an early diagnostic sign of dissecting aneurysm of the aorta, Am. J. M. Sc. 216: 24, 1948. CrossrefMedlineGoogle Scholar4. MoerschSayre FPGP: The neurologic manifestations associated with dissecting aneurysm of the aorta, J. A. M. A. 144: 1141, 1950. CrossrefMedlineGoogle Scholar5. HeldGoldbloom IAA: Three rare intra-abdominal cases, S. Clin. North America 14: 389, 1934. Google Scholar6. RuscheBacon CFSK: Ruptured abdominal aortic aneurysm simulating perinephritic abscess, Brit J. Urol. 7: 330, 1935. CrossrefGoogle Scholar7. LipshutzChodoff BR: Diagnosis of ruptured abdominal aortic aneurysm, Arch. Surg. 39: 171, 1939. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Albany, N. Y.*Received for publication January 18, 1957.From the Departments of Medicine and Surgery, Albany Medical College and Albany Hospital.Requests for reprints should be addressed to Richard T. Beebe, M.D., Albany Hospital, Albany, N. Y. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byNon-traumatic ecchymoses: A literature review from a medico-legal perspectiveRuptured Abdominal Aortic Aneurysm Presenting as Painless Testicular Ecchymosis: The Scrotal Sign of Bryant RevisitedThe blue scrotum sign of Bryant: A diagnostic clue to ruptured abdominal aortic aneurysmArteriosclerotic aneurysms of the abdominal aorta: A reviewHemorrhagesAneurysmenRuptured Aneurysm of Abdominal Aorta 1 April 1958Volume 48, Issue 4Page: 834-838KeywordsAneurysmsAortaHospital medicineMortalityNecrosisReflexesSurgeryTendons ePublished: 1 December 2008 Issue Published: 1 April 1958 PDF downloadLoading ...