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December 14, 1901


JAMA. 1901;XXXVII(24):1578-1580. doi:10.1001/jama.1901.62470500006002a

It is so manifestly impossible in the few minutes allotted to me to consider this subject in its entirety, and so many of the points bearing on this subject have already been considered by preceding speakers, that it seems best to restrict my remarks to the clinical aspects of this disease.

We meet with adherent pericardium in two forms: 1. as a result of pericarditis interna which has led to a more or less complete and firm union of the two layers of the sac, without adhesion to the surrounding structures; 2, as a result of pericarditis interna et externa which has caused adhesion not only between the pericardium and epicardium, but also between the sac and the contiguous structures, as the chest wall, diaphragm and lungs.

In this second form there is often such an extensive development of fibrous tissue within the mediastinum, with consequent union of all the

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