RICHARD T. BEEBE, M.D., F.A.C.P.; SAMUEL R. POWERS JR., M.D.; EDWARD GINOUVES, M.D.
Sudden rupture of a saccular aneurysm of the abdominal aorta is no longer a necessarily fatal condition. Successful resection of ruptured aneurysms has been reported, although the number of survivals is still small.1, 2 Accurate, early diagnosis can markedly reduce both the immediate mortality and the late deaths, which are principally due to distal tubular necrosis. This report deals with three diagnostic aids which have not been sufficiently stressed but are frequently helpful in arriving at an early diagnosis. These aids consist of ecchymosis in the lower abdomen or perineum,3 loss of deep tendon reflexes in the lower extremities,4 and
BEEBE RT, POWERS SR, GINOUVES E. THE EARLY DIAGNOSIS OF RUPTURED ABDOMINAL ANEURYSM1. Ann Intern Med. 1958;48:834–838. doi: 10.7326/0003-4819-48-4-834
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Published: Ann Intern Med. 1958;48(4):834-838.
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