title: [An uncommon form of gastric rupture in giant scrotal hernia].
abstract: The spontaneous gastric rupture without a preexisting gastric ulcer is an extremely rare event. In the case presented we report the occurrence of a gastric rupture in context with a giant left scrotal hernia. The entire intestine was transposed into the hernial sack and this obviously led to a chronic distension of the stomach and finally to the spontaneous gastric rupture. Other reasons of a spontaneous gastric rupture as well as the surgical therapy are discussed. Important are a fast diagnosis and surgical revision in order to prevent patients from a massive diffuse peritonitis.
authors.affiliation: Klinik und Poliklinik für Allgemein-, Viszeral-, Thorax- und Gefässchirurgie der Universität Bonn, Germany. walgenbachk@msx.upmc.edu
authors.forename: K J
authors.initials: KJ
authors.lastname: Walgenbach
authors.forename: H
authors.initials: H
authors.lastname: Lauschke
authors.forename: G
authors.initials: G
authors.lastname: Brünagel
authors.forename: A
authors.initials: A
authors.lastname: Hirner
mesh_terms: D000368:Aged; D004108:Dilatation, Pathologic; D006552:Hernia, Inguinal / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D010538:Peritonitis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D011859:Radiography; D012307:Risk Factors; D012422:Rupture, Spontaneous; D012611:Scrotum / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D013275:Stomach Rupture / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery