Abstract
Rupture of the stomach in infants and children is probably the end result of a variety of causes, singly or in combination. It is possible to determine the cause of the lesion in many cases where processes basically similar to those observed in other age groups can be identified. However, there still remains a group with truly idiopathic “spontaneous” rupture. Formerly well entrenched beliefs, such as the existence of congenital anomalies of the musculature of the stomach, are no longer tenable. At present, mechanical forces are suspected of having a central role in the development of “spontaneous” rupture. The proposed theoretical mechanisms and their anatomic basis as illustrated by 2 cases have been reviewed, but experimental proof is needed before one can accept these postulates without reserve.
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