J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 529KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 96(6): 396-398, 1995

Case report

A CASE OF SPONTANEOUS RUPTURE OF THE STOMACH

1) Critical Care and Emergency Center, Iwate Medical University, Morioka, Japan
2) Hanamaki Onsen Hospital, Iwate Medical University, Morioka, Japan

Mitsuru Kikuchi1), Shigeki Ito1), Yoshihiro Inoue1), Shigeatsu Endo1), Yukio Kuwata2)

We experienced a case of rupture of the stomach which was a 80-year-old female, and had suffered from vomiting after lunch followed by abdominal pain and distention. Physical examination revealed muscle guarding and radiography depicted massive free gas in the abdominal cavity. At laparotomy, a rupture was located close by the anterior wall of the greater curvature of the stomach. There was no evidence of ulceration, tumorigenesis, or traumatic history. The operation consisted of debridment around the rupture site and subsequent closure. The rupture was considered to have occurred at a fragile site due to circulatory disturbance of the gastric wall.

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