PHYSICAL AND LITERARY. 209 



Upon the review of the whole, we con- 

 cluded, that a fmall aperture had at firft 

 been made at this weak part of the aorta, 

 fome coniiderable time before the death of 

 the patient, that the tumour had beea 

 gradually formed by the . oozing of the 

 blood into the cellular membrane fur- 

 rounding the artery, and which thereupon 

 was dilated into that fac mentioned a- 

 bove. That this tumour growing lar^ 

 ger, and in time preffmg upon the in* 

 tercoftal nerves, had excited the pain 

 which the patient complained of in the 

 left fide of his belly ; and that it became 

 at laft fo large, that, either by preffing 

 more upon thofe nerves, or upon the 

 tranfverfe flexure of the duodenum, ic 

 occafioned the hiccup, which could never* 

 be flopped, as the irritation was always 

 incrcafing. That the continuance and 

 violence of the hiccup had been the caufe 

 of a fudden and greater rupture of the 

 aorta at that part which was already o- 

 pen, and that, by this enlargement of the 

 orifice, the blood had gufhed out, in fuch 

 a quantity as to occafion a confiderable 

 VoL.iir. Dd effufion 



