Spontaneous gastric rupture in infants and children


Rupture of the stomach in infants and children is probably the end result of a variety of causes, singly or in combination. It is possible to determine the cause of the lesion in many cases where processes basically similar to those observed in other age groups can be identified. However, there still remains a group with truly idiopathic “spontaneous” rupture. Formerly well entrenched beliefs, such as the existence of congenital anomalies of the musculature of the stomach, are no longer tenable. At present, mechanical forces are suspected of having a central role in the development of “spontaneous” rupture. The proposed theoretical mechanisms and their anatomic basis as illustrated by 2 cases have been reviewed, but experimental proof is needed before one can accept these postulates without reserve.

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  1. 1.

    Arnold GG: Perforation of the stomach in the neonatal period: Report of a survival in a premature infant. J Pediat 46:276, 1955

    Google Scholar 

  2. 2.

    Glassman O: Subcutaneous rupture of the stomach; traumatic and spontaneous. Ann Surg 89:247, 1929

    Google Scholar 

  3. 3.

    McCormick WF: Rupture of the stomach in children. Review of the literature and report of seven cases. Arch Path 67:416, 1959

    Google Scholar 

  4. 4.

    Davis C, Andressen R, Akne O, et al: Spontaneous rupture of the stomach. Surgery 86:184, 1963

    Google Scholar 

  5. 5.

    Barichello AW, Pimblett T, Dyck FJ, et al: Rupture of the stomach following oxygen therapy by nasal catheter. Canad Med Ass J 98:855, 1968

    Google Scholar 

  6. 6.

    Millar TMcW, Bruce J, Patterson JRS: Spontaneous rupture of the stomach. Brit J Surg 44:513, 1957

    Google Scholar 

  7. 7.

    Hadkin RG, Davies JNP: Rupture of the stomach in an African child. Brit Med J 1:644, 1948

    Google Scholar 

  8. 8.

    Gill AB: Acute dilatation and spontaneous rupture of the stomach. Ann Surg 67:378, 1918

    Google Scholar 

  9. 9.

    Murdfield P: Acute rupture of the stomach after ingestion of sodium bicarbonate. Klin Wschr 5:1613, 1926

    Google Scholar 

  10. 10.

    Lemmon WT, Paschal GW: Rupture of the stomach following ingestion of sodium bicarbonate. Ann Surg 114:997, 1941

    Google Scholar 

  11. 11.

    Walstad PM, Conklin WS: Rupture of the normal stomach after therapeutic oxygen administration. Report of three cases. New Eng J Med 264:1201, 1961

    Google Scholar 

  12. 12.

    Albo R, de Lorimier AA, Silen W: Spontaneous rupture of the stomach in the adult. Surgery 53:797, 1963

    Google Scholar 

  13. 13.

    Elders MI, Hughes ER: Rupture of the stomach. Clinical and experimental study. J Lancet 86:104, 1966

    Google Scholar 

  14. 14.

    Brody H: Ruptured diverticulum of the stomach in a newborn infant, associated with congenital membrane occluding the duodenum. Arch Path 29:125, 1940

    Google Scholar 

  15. 15.

    Herbut PA: Congenital defect in the musculature of the stomach with rupture in a newborn infant. Arch Path 36:91, 1943

    Google Scholar 

  16. 16.

    Kneiszl F: Some data on the etiology of gastric rupture in the newborn. Biol Neonat 4:201, 1962

    Google Scholar 

  17. 17.

    Shaw A, Blanc WA, Santulli TV, et al: Spontaneous rupture of the stomach in the newborn. A clinical and experimental study. Surgery 58:561, 1965

    Google Scholar 

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Correspondence to Dr. F. Gonzalez-Crussi MD.

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Gonzalez-Crussi, F., Stapithanonda, P. & Ramchand, S. Spontaneous gastric rupture in infants and children. Digest Dis Sci 15, 463–468 (1970). https://doi.org/10.1007/BF02283876

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  • Public Health
  • Congenital Anomaly
  • Mechanical Force
  • Anatomic Basis
  • Theoretical Mechanism