While suffering great
agony she experienced a sensation as if something was tearing in
the lower part of her belly. The woman uttered several screams,
fell unconscious, and died that night. Postmortem examination
showed that the anterior and middle part of the stomach were torn
obliquely to the extent of five inches. The tear extended from
the smaller toward the greater curvature. The edges were thin and
irregular and presented no marks of disease. The cavity of the
peritoneum was full of half-digested food. The records of St.
Bartholomew's Hospital, London, contain the account of a man of
thirty-four who for two years had been the subject of paroxysmal
pain in the stomach. The pains usually continued for several
hours and subsided with vomiting. At St. Bartholomew's he had an
attack of vomiting after a debauch. On the following day he was
seized with vomiting accompanied by nausea and flatus, and after
a sudden attack of pain at the pit of the stomach which continued
for two hours, he died. A ragged opening at the esophageal
orifice, on the anterior surface of the stomach was found. This
tear extended from below the lesser curvature to its extremity,
and was four inches long. There were no signs of gastric
carcinoma or ulcer.
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