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An Unusual Cause of Upper Gastrointestinal Hemorrhage

PAUL D. ABRAMSON, M.D.; JOHN B. JAMESON, M.D.

AMA Arch Surg. 1955;71(5):658-661.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Almost invariably, the concurrence of hematemesis and melena localizes the source of bleeding in the esophagus, stomach, or duodenum. Bockus⁴ lists some 50 different or related causes for upper gastrointestinal bleeding. Included in his list is rupture of an aortic aneurysm. This has been of sufficiently rare occurrence to justify reporting such cases in the literature. In 1943, Rottino¹² made a very thorough search of the literature and found 31 cases, adding 1 case. In 1946, Hunt and Weller⁸ were able to locate nine more cases. In 1950, Coggeshall and Genovese⁵ discovered 8 more reported cases and added 1 of their own, bringing the total number of cases reported in the world literature to 50. Since that time, eight cases were reported by Hirst and Affeldt⁷ and other cases have been added by Barrett³; Balakian, Ryan, and Perkel²; Antzis, Dunn, and Schilero,¹ . . . [Full Text PDF of this Article]

Author Affiliations
Shreveport, La.

From the Department of Surgery, Confederate Memorial Medical Center.

Footnotes
Submitted for publication April 20, 1955.

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