A study of the necropsy records of the Massachusetts General Hospital was made to find out the number of cases with adherent pericarditis. My attention was attracted to this condition, always difficult of diagnosis, by the presence of extensive adherent pericarditis in two cases which came to necropsy in quick succession in which the endocarditis was so extensive that the diagnosis of adherent pericarditis was not considered. Out of 3,053 necropsies at this hospital (1897-1913) there were 62 in which pericardial adhesions, complete or partial, were present. It was hoped that a study of these 62 cases would lead possibly to a more frequent diagnosis of this condition, or perhaps explain the cause of the frequency with which it has been overlooked.
All of the 62 cases were studied with a view to a causative factor in the production of the pericarditis. In 6 cases syphilis was present. In
SMITH WH. CHRONIC ADHERENT PERICARDITIS: A STUDY OF SIXTY-TWO CASES. JAMA. 1913;61(10):739–741. doi:10.1001/jama.1913.04350100017006
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