[Skip to Content]
[Skip to Content Landing]
May 21, 1898


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

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


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,

First Page Preview View Large
First page PDF preview
First page PDF preview