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To the Editor:—
In Dr. Baumler's clinical note "Arteriosclerotic Abdominal Aortic Aneurysm Rupturing into the Intestine" (JAMA176:146 [April 15] 1961), the statement is made that 52 cases, all terminating fatally, had been published in the English medical literature. The author, in addition, says that a review of the cases indicated that surgical salvage is possible if the physician maintains a high index of suspicion when considering cases of severe unexplained gastrointestinal bleeding in elderly patients.Support for the author's contention is aptly provided in an article entitled "Aneurysm of Aortic Homograft with Rupture into the Duodenum" (MacKenzie, R. J., Buell, A. H., and Pearson, S. C., Arch Surg77:965 [Dec.] 1958). In this report a 70-year-old patient who survived a rupture of an abdominal aortic homograft, which had penetrated into the third portion of the duodenum, is described. The homograft, which had been inserted 3 1/2 years
Trimble GX. Rupture of Aortic Aneurysm. JAMA. 1961;177(4):276. doi:10.1001/jama.1961.03040300048019