aneurysm. This case was
particularly interesting as it was accompanied by a postmortem
examination. Pye-Smith reports an extremely interesting case in which
death occurred from traumatic aneurysm of an aberrant subclavian
artery. The patient fell from a height of 28 feet, lost consciousness
for a few minutes, but soon recovered it. There was no evidence of any
fracture, but the man suffered greatly from dyspnea, pain between the
shoulders, and collapse. The breath-sounds on auscultation and the
difficulty in swallowing led to the belief that one of the bronchi was
blocked by the pressure of a hematoma. Dyspnea continued to increase,
and eighteen days after admission the man was in great distress, very
little air entering the chest. He had no pulse at the right wrist, and
Pye-Smith was unable to feel either the temporal or carotid beats on
the right side, although these vessels were felt pulsating on the left
side. Laryngotomy was done with the hope of removing a foreign body,
but the man died on the tenth day. A postmortem examination disclosed
the existence of an aberrant right subclavian artery in the posterior
mediastinum, and this was the seat of a traumatic aneurysm that had
ruptured into the esophagus.

Relative to the size of an aneurysm, Warren reported a case of the
abdominal aorta which commenced at the origin of the celiac axis and
passed on to the surfaces of the psoas and iliac muscles, descending to
the middle of the thigh The total length of the aneurysm was 19 inches,
and it measured 18 inches in circumference.

A peculiar sequence of an aortic aneurysm is perforation of the sternum
or rib. Webb mentions an Irish woman who died of aneurysm of the aorta,
which had perforated the sternum, the orifice being plugged by a large
clot. He quotes 17 similar cases which he has collected as occurring
from 1749 to 1874, and notes that one of the patients lived seven weeks
after the rupture of the aneurysmal sac.

Large Uterine Tumors.--Before the meeting of the American Medical
Association held in Washington, D.C., 1891, McIntyre a reported a case
of great interest. The patient, a woman of thirty-eight, five feet 5
1/2 inches in height, coarse, with masculine features, having hair on
her upper lip and chin, and weighing 199 1/2 pounds, was found in a
poor-house in Trenton, Missouri, on November 26, 1890, suffering from a
colossal growth of the abdomen. The accompanying illustration is from a
photograph which was