Subcutaneous Rupture of the Stomach, Traumatic and Spontaneous

Glassman, Oscar

doi:10.1097/00000658-192902000-00011

Cited by 32 publications

(5 citation statements)

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“…The location of perforation is more likely to be on the lesser curvature (56%) as opposed to greater curvature (17%). Proposed mechanisms contributing to this imbalance include: the fixed lesser curvature is more susceptible to distension forces (as suggested by Key-Aberg 46 , it has a thinner muscular coat 26 and a lack of mucosal folds, causing reduced elasticity 26,32 ). Other locations of rupture include the anterior wall of the stomach and the gastrooesophageal junction.…”

Section: Discussionmentioning

confidence: 99%

Gastric Rupture following Nasopharyngeal Catheter Oxygen Delivery—A Report of Two Cases

Yao

Tuck

McNally

et al. 2015

Anaesth Intensive Care

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Iatrogenic gastric distension and subsequent rupture following nasal or nasopharyngeal catheter oxygen delivery is a rare but life-threatening condition that requires urgent laparotomy. We report two cases recently encountered at our institution. Both patients exhibited symptoms of abdominal pain and distension following oxygen delivery involving a nasopharyngeal catheter during procedural sedation. Oxygen flow rates were 4 l/minute in both cases. The diagnosis was made by urgent imaging. Both patients survived following laparotomy and repair of gastric rupture. Seventeen cases have been reported previously in the literature. We recommend avoidance of nasal or nasopharyngeal catheters and the use of alternative oxygen delivery methods such as nasal prongs and face masks.

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Section: Discussionmentioning

confidence: 99%

Gastric Rupture following Nasopharyngeal Catheter Oxygen Delivery—A Report of Two Cases

Yao

Tuck

McNally

et al. 2015

Anaesth Intensive Care

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“…Too much expansion of the wall can strongly stretch the esophagogastric mucosa, causing longitudinal tears in mucosal and submucosal tissues. In addition, the muscle layer extending from the right side wall of the stomach (lesser curvature) was reported to be less distensible and vulnerable to too much extension [26]. Indeed, the right side wall of the esophagus (minor curvature side of the stomach) has been reported to be the most frequent location of Mallory-Weiss tears.…”

Section: Circumferential Location Of Mallory-weiss Tearsmentioning

confidence: 99%

Asymmetrical circumferential distribution of esophagogastric junctional lesions: anatomical and physiological considerations

et al. 2009

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Several components of the gastrointestinal tract including the esophagogastric junction (EGJ) show circumferential asymmetry in the formation of pathological lesions, which is caused by the morphological and functional asymmetry of the gastrointestinal tract. Pressure in the lower esophageal sphincter (LES) is higher on the left posterior side as compared to the right anterior side, which may partly explain why Mallory-Weiss tears frequently occur on the right side wall of the EGJ. Lower LES pressure in the right anterior wall may not effectively prevent gastroesophageal reflux on this side and may be a reason why esophageal erosions in patients with reflux esophagitis, short segment Barrett's esophagus, and adenocarcinomas associated with short segment Barrett's esophagus are frequently found in the right anterior wall of the esophagus. In addition, acidic gastroesophageal reflux may also cause rupture of esophageal varices predominantly on that side. Thus, asymmetrical LES pressure may be a cause of the right anterior side predominance of diseases found in this part of the gastrointestinal tract.

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“…The rupture in this and most other cases occurred high on the lesser curve due probably to the fact that this is the least distensible part of the stomach (Glassman 1929).…”

Section: Discussionmentioning

confidence: 69%

Spontaneous Rupture of the Stomach in an Adult — a rare complication of Pyloric Stenosis

Wake

1978

Int J Clinical Practice

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Spontaneous rupture of the stomach is a rare event.A case of spontaneous rupture in an adult due to the vomiting of pyloric stenosis is described with special reference to its pathogenesis and unusual clinical features. CASE REPORTMr. G.K., a 64-year-old man, was admitted in January 1977 in extremis with a history of collapse following vomiting some five hours previously. On examination the patient was shocked with a distended typmanitic abdomen. Blood pressure was 40 mm systolic; pulse rate l30/min palpable only in the groin or in the neck . The abdominal distension was so marked as to interfere with respiratory effort with resultant cyanosis Supine film showing massive pneumoperitoneum with displacement of liver. Barium is seen outlining a small bowel loop from the barium meal performed three weeks previously.

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Subcutaneous Rupture of the Stomach, Traumatic and Spontaneous

Cited by 32 publications

References 0 publications

Gastric Rupture following Nasopharyngeal Catheter Oxygen Delivery—A Report of Two Cases

Gastric Rupture following Nasopharyngeal Catheter Oxygen Delivery—A Report of Two Cases

Asymmetrical circumferential distribution of esophagogastric junctional lesions: anatomical and physiological considerations

Spontaneous Rupture of the Stomach in an Adult — a rare complication of Pyloric Stenosis

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