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April 1970

Aorto-Iliac Atherosclerotic and Nonvascular Intra-Abdominal Surgical Lesions: Problems of Management

Author Affiliations

From the Department of Surgery, Henry Ford Hospital, Detroit.

Arch Surg. 1970;100(4):470-476. doi:10.1001/archsurg.1970.01340220146024

Since many nonvascular degenerative diseases occur in the same age periods as do the occlusive and particularly aneurysmal manifestations of atherosclerosis (Figure), concurrent atherosclerotic and degenerative nonvascular lesions are encountered with significant frequency. Moreover, the nonvascular diseases are often surgical in nature and not infrequently require treatment. Although the diagnostic difficulties that the concurrence of the two types of disease raises are not negligible, the major resulting problems are those of management. In this essay we intend to define and illustrate these therapeutic problems and to offer some solutions for them. In essence, we shall try to answer the questions: which of the two associated entities should be dealt with first, and under what conditions is it advisable to treat both lesions at the same time?

Clinical Material  In general, the two most common uses of the analysis of clinical case material are (1) the determination of the frequency of