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
Schwartz AM, Zimetbaum M. Spontaneous Rupture of the Stomach. JAMA. 1966;196(2):180–181. doi:10.1001/jama.1966.03100150126039
Coronavirus Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: