592 TRANSLATIONS FROM CONTINENTAL JOURNALS. 
affected anaesthetically, has not been ascertained. These 
attacks of paralysis showing themselves during the week, 
and disappearing after a few minutes 5 rest, did not prevent 
the patient from following his usual occupation, but the 
vomiting of blood and the haemorrhage were of frequent 
occurrence, which necessarily caused great prostration of 
strength, with palpitation of the heart; and on the least 
exertion, painful throbbings were also felt in the umbilical 
region. The limb was likewise weaker than the correspond¬ 
ing one, and the suffering after walking was more intense. On 
being admitted into the hospital, his state was as follows: 
anaemic ; the skin of a waxy, yellow colour; there were no 
signs of hypertrophy of the heart; strong pulsations were 
felt on applying the hand to the epigastric region, but no 
tumour existed there, auscultation and percussion giving 
no indication; the functions of the rectum and the bladder 
were normal; the urine was not albuminous; the appetite 
was still good, and the patient strong enough to walk; but 
after a few steps the numbness and pain manifested them¬ 
selves in the leg and thigh; the limb, however, showed no 
difference in size or nutrition when compared with the other, 
neither was there any difference in the sensation or tempe¬ 
rature. 
On the 12th, the palpitations, cardiac and abdominal, 
were more violent. The patient was unable to leave his 
bed. He had every night violent pains in the course of the 
sciatic nerve, which lasted for about an hour. These attacks 
were regular for five days, but they were removed by the 
administration of quinine. 
On the 20th, the patient had a severe fit of syncope. 
When sensibility was restored, he vomited a large quantity 
of blood, which quickly coagulated. The syncope returned 
several times, and he died in one of them the next morning. 
On the autopsia of the body, an aneurism the size of 
a hen’s egg was found on the iliac artery. This tumour 
communicated on the left superiorly with the inferior part 
of the aorta by a large orifice, which replaced the com¬ 
munication of the iliac artery with the aorta. There was 
also an opening into the jejunum, at the point of union of 
that intestine with the duodenum. The parietes had a de¬ 
gree of thickness, and assumed the hardness of fibro-cartilage. 
Internally it was lined with superposited layers of fibrine, 
and nearly filled with concretions of the same nature, which 
were of more recent date. Two thirds of the iliac artery 
were thus invaded by this tumour, while the remaining infe¬ 
rior part was obliterated. The left iliac was strongly com- 
