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Article
May 21, 1898

A REPORT OF A CASE OF ANOMALOUS THORACIC ANEURYSM.

Author Affiliations

Medical Superintendent of the Cook County Infirmary; Late Chief Male Physician to the Cook County Hospital for the Insane; Fellow of the American Academy of Medicine; Member of the American Medical Association, Chicago Medical Society, and the Mississippi Valley Medical Association. CHICAGO, ILL.

JAMA. 1898;XXX(21):1216-1218. doi:10.1001/jama.1898.72440730022002e

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Abstract

Aneurysm of the aorta is not an uncommon occurrence in the experience of every physician, and from the group of symptoms found in text-books on practice and surgery is not especially difficult of diagnosis. That there are exceptional cases, however, in which a diagnosis is somewhat difficult, there is little doubt. Such a case is the one herein reported.

After having studied this case for some months and then being unable to make a satisfactory diagnosis, I presented the case to the Chicago Medical Society for diagnosis. A number of its most able clinicians became interested, and after considerable study and repeated examinations agreed upon a diagnosis of lymphosarcoma of the mediastinum, the tumor occupying the right thorax. The clinical and personal history, together with postmortem notes and the author's deductions, are here given in full:

Personal history.  —W. D., aged 53 years, Irish, unmarried, is a plumber by occupation,

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