This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on Web of Science (5)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Report of a Case Treated Successfully Through a Thoracoabdominal Incision

MORTON PERKOFF, M.D.; DAVID M. SENSENIG, M.D.

AMA Arch Surg. 1961;83(6):808-812.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Survival following spontaneous rupture of the esophagus is no longer considered a clinical oddity. Ware,¹⁰ in his review of the literature through 1952, reported 17 survivors following treatment. Mackler,⁷ reviewing the same time interval, reported only 13 survivors, 11 of whom were treated by suture of the ruptured esophagus. Approximately another 50 survivors have been reported since 1952, 41 of whom were treated by surgical repair. The figures vary with the definition of a "spontaneous rupture" and with the recognition of overlapping reports.

In our review of the literature, spontaneous rupture across the esophagogastric junction has been a very rare occurrence, and we have found no previous description of repair by a thoracoabdominal approach. Sencert⁹ in 1911 reported the first and one of the few cases of rupture extending below the diaphragm. Mackler⁷ in 1952 described 2 cases in which the perforation extended to the cardia . . . [Full Text PDF of this Article]

Author Affiliations
MILLBURN, N.J.

From the Department of Surgery, Veterans Administration Hospital, Philadelphia 4.; Formerly. Senior Resident in Surgery, Veterans Administration Hospital, Philadelphia (Dr. Perkoff); Formerly Chief, Thoracic Surgery, Veterans Administration Hospital, Philadelphia, and presently at University Hospital, Iowa City, Iowa (Dr. Sensenig).

Footnotes
Submitted for publication Jan. 28, 1961.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?