Spontaneous mid-oesophageal rupture

Abstract

Summary The clinical presentation and management of spontaneous rupture of the middle third of the oesophagus is described in two patients. Early presentation and treatment in one case led to uncomplicated recovery. In the other patient late presentation and diagnosis resulted in delayed surgical intervention with an unsuccessful outcome. The nature of this rare lesion is discussed and nine previously described cases are reviewed.

Rupture of the abdominal oesophagus: A review

“…It is most common in the lower third, just above the diaphragm, 80-90 per cent being on the left side, and perforation into the left pleural cavity has usually taken place by the time of admission. Rupture in the middle third is more commonly on the right side (6 out of the 9 cases reviewed by Holt et al, 1978). Most series show a male preponderance.…”