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William Randolph Smith, A.B., M.D.
JAMA. 1923;80(23):1692. doi:10.1001/jama.1923.26430500001013.
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The rarity of a ruptured aneurysm of the splenic artery, coupled with several interesting features presented by this case, prompts me to report it.

History.  —A colored woman, aged 38, had been in fairly good health up to the day of admission to the hospital, but for several years had been troubled with "indigestion," and had obtained some relief at times by using large amounts of soda. Menstruation had always been regular and normal in every way; the last period occurred one week prior to admission. While walking along the street, she was seized with a sudden sharp pain in the epigastrium, and immediately thereafter lost consciousness. She was brought directly to the hospital, and by the time she was placed in bed, consciousness had returned. She vomited just after admission.

Examination.  —The patient was of moderate size, and was in a condition of severe shock. Her extremities were cold;


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