The man
finally died of his malady, and at postmortem it was found that
his stomach had burst, showing a slit four inches long. The gall
bladder contained two quarts of inspissated bile. Fulton mentions
a case of rupture of the esophageal end of a stomach in a child.
The colon was enormously distended and the walls thickened. When
three months old it was necessary to puncture the bowel for
distention. Collins describes spontaneous rupture of the stomach
in a woman of seventy-four, the subject of lateral curvature of
the spine, who had frequent attacks of indigestion and
tympanites. On the day of death there was considerable
distention, and a gentle purgative and antispasmodic were given.
Just before death a sudden explosive sound was heard, followed by
collapse. A necropsy showed a rupture two inches long and two
inches from the pyloric end. Lallemand mentions an instance of
the rupture of the coats of the stomach by the act of vomiting.
The patient was a woman who had suffered with indigestion five or
six months, but had been relieved by strict regimen. After
indulging her appetite to a greater extent than usual, she
experienced nausea, and made violent and ineffectual efforts to
discharge the contents of the stomach.
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