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Rupture of Iliac Aneurysm into Duodenum: An Unusual Cause of Upper Gastrointestinal Hemorrhage

Rupture of Iliac Aneurysm into Duodenum: An Unusual Cause of Upper Gastrointestinal Hemorrhage Abstract Almost invariably, the concurrence of hematemesis and melena localizes the source of bleeding in the esophagus, stomach, or duodenum. Bockus4 lists some 50 different or related causes for upper gastrointestinal bleeding. Included in his list is rupture of an aortic aneurysm. This has been of sufficiently rare occurrence to justify reporting such cases in the literature. In 1943, Rottino12 made a very thorough search of the literature and found 31 cases, adding 1 case. In 1946, Hunt and Weller8 were able to locate nine more cases. In 1950, Coggeshall and Genovese5 discovered 8 more reported cases and added 1 of their own, bringing the total number of cases reported in the world literature to 50. Since that time, eight cases were reported by Hirst and Affeldt7 and other cases have been added by Barrett3; Balakian, Ryan, and Perkel2; Antzis, Dunn, and Schilero,1 References 1. Antzis, E.; Dunn, J., and Schilero, A. J.: Rupture of Abdominal Aneurysm into Gastrointestinal Tract , Am. J. Med. 11:531 ( (Oct.) ) 1951.Crossref 2. Balakian, G.; Ryan, C., and Perkel, C. C.: Gastrointestinal Hemorrhage Due to Ruptured Abdominal Aneurysm , Am. J. Digest. Dis. 17:408 ( (Dec.) ) 1950.Crossref 3. Barrett, G. M.: Haematemesis Following Intraduodenal Rupture , Brit. M. J. 2:319 ( (Aug. 6) ) 1949.Crossref 4. Bockus, H. L.: Gastro-Enterology , Philadelphia, W. B. Saunders Company, 1943, Vol. 1, p. 559. 5. Coggeshall, W. E., and Genovese, P. D.: Rupture of an Abdominal Aneurysm Associated with Massive Gastrointestinal Hemorrhage , Am. Heart J. 40:789 ( (Nov.) ) 1950.Crossref 6. Fernbach, P. A.; Berman, L., and Cohen, B.: Intraperitoneal Rupture of Iliac Aneurysm with Survival Following Surgical Treatment , Ann. Surg. 135:570 ( (April) ) 1952.Crossref 7. Hirst, A. E., Jr., and Affeldt, J. E.: Abdominal Aortic Aneurysm with Rupture into Duodenum: Report of 8 Cases , Gastroenterology 17:504 ( (April) ) 1951. 8. Hunt, H. H., and Weller, C. V.: Syndrome of Abdominal Aortic Aneurysm Rupturing into the Gastrointestinal Tract: Summary of the Literature and Case Report , Am. Heart J. 32:571 ( (Nov.) ) 1946.Crossref 9. Jackman, R. J.; McQuarrie, H. B., and Edwards, J. E.: Fatal Rectal Hemorrhage Caused by Aneurysm of Internal Iliac Artery , Proc. Staff Meet., Mayo Clin. 23:305 ( (July 7) ) 1948. 10. Kampmeier, R. H.: Aneurysm of Abdominal Aorta: Study of 73 Cases , Am. J. M. Sc. 192:97 ( (July) ) 1936.Crossref 11. Muendel, H. J., and Pilpel, M.: Rupture of Aortic Aneurysm with Duodenal Hemorrhage , J. M. Soc. New Jersey 51:280 ( (June) ) 1954. 12. Rottino, A.: Aneurysm of Abdominal Aorta with Rupture into Duodenum: Case Report and Review of Literature , Am. Heart J. 25:826 ( (June) ) 1943.Crossref 13. Thorek, P.: Anatomy in Surgery , Philadelphia, J. B. Lippincott Company, 1951, p. 447. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

Rupture of Iliac Aneurysm into Duodenum: An Unusual Cause of Upper Gastrointestinal Hemorrhage

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Publisher
American Medical Association
Copyright
Copyright © 1955 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1955.01270170016003
Publisher site
See Article on Publisher Site

Abstract

Abstract Almost invariably, the concurrence of hematemesis and melena localizes the source of bleeding in the esophagus, stomach, or duodenum. Bockus4 lists some 50 different or related causes for upper gastrointestinal bleeding. Included in his list is rupture of an aortic aneurysm. This has been of sufficiently rare occurrence to justify reporting such cases in the literature. In 1943, Rottino12 made a very thorough search of the literature and found 31 cases, adding 1 case. In 1946, Hunt and Weller8 were able to locate nine more cases. In 1950, Coggeshall and Genovese5 discovered 8 more reported cases and added 1 of their own, bringing the total number of cases reported in the world literature to 50. Since that time, eight cases were reported by Hirst and Affeldt7 and other cases have been added by Barrett3; Balakian, Ryan, and Perkel2; Antzis, Dunn, and Schilero,1 References 1. Antzis, E.; Dunn, J., and Schilero, A. J.: Rupture of Abdominal Aneurysm into Gastrointestinal Tract , Am. J. Med. 11:531 ( (Oct.) ) 1951.Crossref 2. Balakian, G.; Ryan, C., and Perkel, C. C.: Gastrointestinal Hemorrhage Due to Ruptured Abdominal Aneurysm , Am. J. Digest. Dis. 17:408 ( (Dec.) ) 1950.Crossref 3. Barrett, G. M.: Haematemesis Following Intraduodenal Rupture , Brit. M. J. 2:319 ( (Aug. 6) ) 1949.Crossref 4. Bockus, H. L.: Gastro-Enterology , Philadelphia, W. B. Saunders Company, 1943, Vol. 1, p. 559. 5. Coggeshall, W. E., and Genovese, P. D.: Rupture of an Abdominal Aneurysm Associated with Massive Gastrointestinal Hemorrhage , Am. Heart J. 40:789 ( (Nov.) ) 1950.Crossref 6. Fernbach, P. A.; Berman, L., and Cohen, B.: Intraperitoneal Rupture of Iliac Aneurysm with Survival Following Surgical Treatment , Ann. Surg. 135:570 ( (April) ) 1952.Crossref 7. Hirst, A. E., Jr., and Affeldt, J. E.: Abdominal Aortic Aneurysm with Rupture into Duodenum: Report of 8 Cases , Gastroenterology 17:504 ( (April) ) 1951. 8. Hunt, H. H., and Weller, C. V.: Syndrome of Abdominal Aortic Aneurysm Rupturing into the Gastrointestinal Tract: Summary of the Literature and Case Report , Am. Heart J. 32:571 ( (Nov.) ) 1946.Crossref 9. Jackman, R. J.; McQuarrie, H. B., and Edwards, J. E.: Fatal Rectal Hemorrhage Caused by Aneurysm of Internal Iliac Artery , Proc. Staff Meet., Mayo Clin. 23:305 ( (July 7) ) 1948. 10. Kampmeier, R. H.: Aneurysm of Abdominal Aorta: Study of 73 Cases , Am. J. M. Sc. 192:97 ( (July) ) 1936.Crossref 11. Muendel, H. J., and Pilpel, M.: Rupture of Aortic Aneurysm with Duodenal Hemorrhage , J. M. Soc. New Jersey 51:280 ( (June) ) 1954. 12. Rottino, A.: Aneurysm of Abdominal Aorta with Rupture into Duodenum: Case Report and Review of Literature , Am. Heart J. 25:826 ( (June) ) 1943.Crossref 13. Thorek, P.: Anatomy in Surgery , Philadelphia, J. B. Lippincott Company, 1951, p. 447.

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Nov 1, 1955

References