January 1963

Spontaneous Rupture of the Stomach

Author Affiliations

From the Departments of Surgery (Dr. Davis), Obstetrics and Gynecology (Dr. Andresen), and Medicine (Dr. Akre); Resident in Surgery (Dr. McCarthy). The Presbyterian-St. Luke's Hospital, and the University of Illinois, College of Medicine.

Arch Surg. 1963;86(1):170-176. doi:10.1001/archsurg.1963.01310070172023

A most unusual condition that produces the clinical manifestations of an acute surgical abdomen in an adult or a newborn is so-called spontaneous rupture of the stomach. This descriptive term is applied in instances in which there is no history of trauma and no pathological change in the wall of the stomach to account for the rupture.1 A review of the literature indicates that this entity is of infrequent occurrence and that the survival rate is extremely low.

The purpose of this presentation is to describe the clinical course of a patient who developed a spontaneous rupture of the stomach while convalescing in the hospital from an appendectomy and a spontaneous delivery of a 5-month-old stillborn. Vomiting did not occur, therefore it could not be considered a factor in the etiology of this complication. Emergency surgery resulted in the successful closure of a large perforation in the anterior wall

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