Spontaneous rupture of the oesophagus. Avoidance of postoperative morbidity

Abstract

Twelve cases of ‘spontaneous rupture’ of the oesophagus occurring over a period of 20 years (1951–71) are reviewed. The principal clinical and radiological features are described and the factors concerned in the pathogenesis of this condition are discussed. Although the mortality rate in this study was low (8 per cent) the incidence of severe post-operative complications was considerable, occurring in 10 of the 11 operative survivors. The importance of early diagnosis and adequate surgical treatment in the avoidance of this high morbidity is stressed.