"Spontaneous" rupture of the healthy oesophagus.

نویسندگان

P J Toghill

C F MacGuire

P S Raut

چکیده

Introduction During the last 20 years the syndrome of acute rupture of the apparently normal oesphagus has been more frequently recognized and several extensive reviews have been made (Barrett, 1946; Moynihan, 1954; Tesler & Eisenberg, 1963). The condition has always been termed 'spontaneous rupture' but the nomenclature has become confused, and it seems preferable to refer to 'true spontaneous rupture' of the organ as rupture occurring at rest, as during sleep (Clark & Tankel, 1964), and whilst watching television (Heroy, 1952). Most cases seem to follow forceful vomiting of a large meal, recently taken, and often liberally mixed with alchohol. These cases have been well termed primary pressure rupture of the oesophagus (Moynihan, 1954). The remainder may be related to miscellaneous conditions such as status asthmaticus (Raffle, 1958), childbirth (Kennard, 1950) and epilepsy (Klein & Grossman, 1943). Under these circumstances there is usually raised intra-abdominal pressure and the rupture may be regarded as a secondary pressure rupture. The association of severe upper abdominal pain after vomiting, hydropneumothorax and surgical emphysema in the neck may allow a clinical diagnosis to be made, although the condition may simulate such emergencies as myocardial infarction (Armstrong & Shearer, 1965), perforated peptic ulcer (Ross, 1961) and pancreatitis (Hugh, 1965). Four more cases are

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منابع مشابه

A Case of Non-familial Degenerative Chorea.

BARRETr, N. P. (1946): Spontaneous Rupture of the Oesophagus-Review of the Literature and Report of 3 cases, Thorax, 48, 1. BARRETT, N. P. (1947): Report of a Case of Spontaneous Rupture of the Oesophagus successfully treated by Operation, Brit. J. Surg., 216, 35. BEAL, J. M. (1949): Spontaneous Rupture of the Oesophagus, Ann. Surg., 129, 572. BUNCH, G. H. (Jr.) (1957): Spontaneous Rupture of t...

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