Spontaneous Rupture of the Œsophagus

Clain, Allan; Heffernan, S. J.

doi:10.1016/s0140-6736(56)91436-2

Cited by 2 publications

(6 citation statements)

References 7 publications

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“…This case, which is similar to that described by Clain and Heffernan (1956) shows the classical symptoms of the condition except for the absence of vomiting. Confirmation of the diagnosis was not difficult.…”

Section: Case Nosupporting

confidence: 90%

“…Swann and others (1955), reported a case in a man of 79 whose oesophagus was repaired but subsequently died. Quite a few cases of operative repair have been reported in the seventh decade, but the mortality was high (Cliffton, 1949, Kernan, 1950, Clain and Heffernan, 1956). It seems reasonable to conclude that, as in so many diseases, the condition is becoming more common in the elderly.…”

Section: Discussionmentioning

confidence: 99%

“…The patients are commonly males and the age incidence is usually given as between 35 and 55 (Barrett, 1946). However, Clain and Heffernan (1956) found that of 86 published cases in males most were in the middle or old age groups. Swann and others (1955), reported a case in a man of 79 whose oesophagus was repaired but subsequently died.…”

Section: Discussionmentioning

confidence: 99%

“…Whilst good results will depend on early diagnosis it is perhaps not so generally recognized that surgery can be reasonably attempted even when the patient's condition appears desperate.A dramatic improvement often occurs once the pleura is opened (Starkey, 1955). The condition may perhaps be becoming more common in elderly male patients (Clain and Heffernan, 1956), and age should not be a deterrent to operation in these cases, although the operative mortality is high.We wish to illustrate some of these points in presenting this small series of cases. These appear to be the only examples of the condition admitted to this hospital during the 7-year period 1950-6.…”

mentioning

confidence: 99%

“…A dramatic improvement often occurs once the pleura is opened (Starkey, 1955). The condition may perhaps be becoming more common in elderly male patients (Clain and Heffernan, 1956), and age should not be a deterrent to operation in these cases, although the operative mortality is high.…”

mentioning

confidence: 99%

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Spontaneous Rupture of the Oesophagus

Wedgewood

1958

Int J Clinical Practice

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IT IS AXIOMATIC in medicine that increased awareness of a disease leads to its increased recognitio n. This is particularly exemplified in spontaneous rupture of the oesophagus.Although the subject has been fairly extensively reviewed in the literature, cases of this disease are often missed.The condition is relatively rare and its presenting symptoms may be atypical.Surgical repair (Barrett, 1946(Barrett, , 1947, is the treatment of choice. Whilst good results will depend on early diagnosis it is perhaps not so generally recognized that surgery can be reasonably attempted even when the patient's condition appears desperate.A dramatic improvement often occurs once the pleura is opened (Starkey, 1955). The condition may perhaps be becoming more common in elderly male patients (Clain and Heffernan, 1956), and age should not be a deterrent to operation in these cases, although the operative mortality is high.We wish to illustrate some of these points in presenting this small series of cases. These appear to be the only examples of the condition admitted to this hospital during the 7-year period 1950-6. Ruptures of the oesophagus due to trauma or associated with neoplasm, peptic ulcer or oesophagitis were of course excluded. Case No. IA man, aged 71, admitted 13th May, 195 6. SUdden onset of severe pain at the lower end of the sternum whilst swallowing a piece of teacake 2 days earlier. Pain made him double up and was associated with cough and sweating.

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Section: Case Nosupporting

confidence: 90%