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March 28, 1885


JAMA. 1885;IV(13):349. doi:10.1001/jama.1885.02390880013005

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Professor Loreta, of Bologna, who is already well known to the medical world by his operation of divulsion of the pylorus, has recently performed a very brilliant operation for the relief of a very large sacciform aneurism of the abdominal aorta. It was performed on December 18, 1884, and the patient, at last accounts, was considered well—and cured.

The aneurism was about the size of the head of a foetus at term. The sac occupied the hypogastric and left hypochondriac regions, displacing the spleen and diaphragm. Loreta made the diagnosis of sacciform aneurism of traumatic origin, due to pressure on the abdominal aorta between the pillars of the diaphragm during violent muscular exertion. The operation was undertaken at the solicitation of the patient, on account of the violent neuralgia from which he suffered, and on account of his rapidly increasing state of malnutrition. An incision was made from just below

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