E. L. MARSTON, M.D.; HENRY L. VALK, M.D.
Spontaneous perforation of the esophagus is a rare condition with a high mortality rate when untreated. The following patient illustrates the need for an early diagnosis and immediate surgical treatment.
On July 30, 1955, at 6:00 p.m., a 72 year old white male developed nausea, vomiting and diarrhea shortly after his supper. Severe left chest pain rapidly appeared. Respiratory movements were painful, and he became dyspneic. His family physician described hypotension, a friction rub over the left lateral chest, and diffuse moist râles at both bases. There was no cough, hemoptysis or hematemesis. He was referred to the
MARSTON EL, VALK HL. SPONTANEOUS PERFORATION OF THE ESOPHAGUS: REVIEW OF THE LITERATURE AND REPORT OF A CASE1. Ann Intern Med. ;51:590–607. doi: 10.7326/0003-4819-51-3-590
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Published: Ann Intern Med. 1959;51(3):590-607.
Esophageal Disorders, Gastroenterology/Hepatology.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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