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Article
November 19, 1927

SPONTANEOUS RUPTURE OF THE HEART WITH CONGENITAL SOLITARY KIDNEY

Author Affiliations

St. Peter, Minn.

JAMA. 1927;89(21):1778. doi:10.1001/jama.1927.92690210001013a

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Abstract

L. C., a married woman, aged 60, a nullipara, was a patient in the St. Peter State Hospital for seven years, being admitted, Feb. 17, 1920. On admission the physical examination revealed nothing abnormal except a slight increase in temperature which subsided in the course of a few days. Urinalysis showed a specific gravity of 1.035, a slight trace of albumin, and many pus cells. The blood Wassermann reaction was negative. She had many poorly systematized delusions of persecution and auditory hallucinations, to which she responded actively. During the stay in the hospital she was in good physical condition. Occasionally she would become very profane and threatening, but she was quiet the two weeks preceding death.

On the forenoon of July 16, 1927, she was feeling well and joked with the other patients while, bathing. When stepping out from under the shower she suddenly fell forward, gasping for breath. She became cyanosed and lost

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