Spontaneous recovery following perforation of a peptic ulcer into the free abdominal cavity is and has been generally considered of rare occurrence. Older writers attempted to account for the occasional recovery without operation by the absence of food in the stomach at the time rupture occurred. Thus, Hall,1 who reported one and collected six additional cases of spontaneous recovery, ascribed the outcome to the empty state of the stomach when the perforation took place. He concluded, "When perforation of a presumably full stomach has occurred laparotomy affords probably the only chance." Pariser2 was also greatly impressed by the importance of the presence or absence of food in the stomach in determining the fate of a perforated ulcer. In fact, he recommended considering as the time of onset in the case of a fasting stomach not the moment of actual perforation but the time food or liquid was ingested subsequent to
SINGER HA. SPONTANEOUS RECOVERY FROM PERFORATION OF PEPTIC ULCER INTO THE FREE ABDOMINAL CAVITY. Arch Intern Med (Chic). 1930;45(6):926–947. doi:10.1001/archinte.1930.00140120101005
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