RUPTURE of an arteriosclerotic abdominal aortic aneurysm into the gastrointestinal tract is an unusual syndrome; only 52 cases could be found in a careful search of the medical literature published in English. These all ended fatally, but a review of these cases and the experience provided by the case reported here suggest that surgical salvage is possible if this diagnosis is given due consideration in cases of unexplained severe gastrointestinal bleeding in the older patient.
Similarly, rupturing aneurysms of other than arteriosclerotic origin have also been reported, such as syphilitic aortitis, mycotic aneurysm, tuberculous adenitis, metastatic carcinoma, and trauma, but these were not included in this review, since they commonly gave evidence of the primary disease and were lesser diagnostic problems.
Report of a Case
A 74-year-old man was admitted to the Buffalo General Hospital on Sept. 30, 1959, because of 2 weeks of severe pain centering about the