Subcutaneous rupture of the normal stomach is relatively rare. In a complete review of the literature, Glassman1 was able to collect only fifty-three cases, and he added to this number two of his own. He classified these into three groups. The first group included cases due to severe or moderate trauma, of which there were thirty-two. The one outstanding symptom was shock. However, over 50 per cent showed hematemesis. The second group included those cases in which rupture occurred following very slight trauma. Glassman felt that distention of the stomach was the important predisposing factor in this type. In the third group were cases of spontaneous rupture. Of the fourteen cases collected, all showed a history of overdistention of the stomach due to either overeating or obstruction at the outlet.
REPORT OF CASES
Case 1.—A girl, aged 17 months, entered the hospital on Feb. 5, 1929, in a moribund