Two cases of aneurysm of the splenic artery / by R.S. Taylor and John H. Teacher.

  • Taylor, R. S.
Date:
[1911]
Catalogue details

Licence: In copyright

Credit: Two cases of aneurysm of the splenic artery / by R.S. Taylor and John H. Teacher. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    a certain amount of round cells principally replacing the middle coat. The internal elastic lamina is not recognisable, and it would be scarcely possible to tell that they were of arterial origin apart from the dissection. As to the course of events, only suggestions can be made. It seems probable that the aneurysms had long been in existence, and from the history it also seems probable that the occurrence of the large infarction corresponded with the onset of symptoms. This may have been due to embolism, in which case the embolus probably came from a thrombosis in one of the aneurysms; or it may have been due to direct occlusion of the arterial branch by thrombosis in an aneurysm. The thrombosis gradually spread back to the commence- ment of the splenic artery, where it was arrested. About the same time thrombosis occurred in the splenic vein, which, however, extended into the main portal trunk, producing the thrombosis of the entire portal system, and giving rise to infarction of the intestine. We are indebted to Dr. George S. Middleton for the clinical history of the first case, and to Mr. J. Hogarth Pringle for that of the second case, and for their kind permission to use their records. EEFERENCE. W. Rolland, Aneurism of the Hepatic Arteri/ (with review of literature), Glasgoiv Medical Journal, May, 1908. clLASaUW: I'KINTBI) BY AI,K\. M ACDOLIOALL,