[Skip to Content]
[Skip to Content Landing]
Article
June 18, 1982

Postemetic Rupture of Herniated Cardia of the Stomach

JAMA. 1982;247(23):3186-3187. doi:10.1001/jama.1982.03320480014013

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.

Abstract

To the Editor.—  Indeed, there is nothing new under the sun nor above the diaphragm. The article by Gapp et al (1982;247:811) indicated that isolated rupture through a herniated gastric cardia owing to forceful emesis had not been identified in their review of the literature.I have treated surgically a similar case in 1975.

Report of a Case.—  A 60-year-old woman had previously undergone a right transthoracic ligation of blebs with pleurodesis and a simultaneous modified Belsey repair of a symptomatic hiatal hernia. Three years later, she was seen for a three-day history of acute left submammary, retrosternal, and subscapular pleuritic chest pains, which were associated with vomiting of all ingested materials. Because of a history of phlebitis, she was treated with intravenous heparin sodium for three days for possible pulmonary emboli. She was subsequently treated with warfarin sodium, tetracycline, and intermittent positive-pressure breathing. A left pleural effusion was treated

×