Quotation from: Manual of Surgery

Written by: Alexander Miles and Alexis Thomson


The _clinical features_ vary with the site of the aneurysm and with its
rapidity and direction of growth. A smooth, rounded swelling, which
exhibits expansile pulsation, forms, usually towards the left of the
middle line. It may extend upwards under cover of the ribs, downwards
towards the pelvis, or backward towards the loin. On palpation a
systolic thrill may be detected, but the presence of a murmur is neither
constant nor characteristic. Pain is usually present; it may be
neuralgic in character, or may simulate renal colic. When the aneurysm
presses on the vertebrae and erodes them, the symptoms simulate those of
spinal caries, particularly if, as sometimes happens, symptoms of
compression paraplegia ensue. In its growth the swelling may press upon
and displace the adjacent viscera, and so interfere with their
functions.

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