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April 11, 1966

Spontaneous Rupture of the Stomach

Author Affiliations

From the divisions of surgery and medicine (Gastroenterology), Montefiore Hospital and Medical Center, New York.

JAMA. 1966;196(2):180-181. doi:10.1001/jama.1966.03100150126039

SPONTANEOUS rupture of the stomach is a catastrophic entity. In none of the 45 cases hitherto reported was the diagnosis made prior to surgery or autopsy.1,2 Since this condition was not thought of as a diagnostic possibility, apparently few physicians are aware of it.

Report of a Case  A 65-year-old white woman was admitted to Montefiore Hospital complaining of generalized abdominal pain. Two hours prior to admission, while eating a large dinner, she noted abdominal discomfort. She took several effervescent antacid tablets dissolved in water, her abdomen became acutely distended, and she vomited repeatedly. She was known to have diverticulosis and had been on a self-imposed, low-calorie, low-residue diet for several weeks.Upon admission she was in acute distress with cold moist skin and a cyanotic appearance. The abdomen was distended, tympanitic, and rigid. Her blood pressure was 80/0 mm Hg; pulse rate, 130 beats per minute; and central-venous