Abstract
Two cases of the impending rupture of the stomach associated with massive gastric hemorrhage in infants were reported. Case 1 : One-day-old female having meconium disease had ileostomy performed. She began to have massive bloody vomiting at 3 days after the operation. She died of MOF at the 13th postoperative day. A seromuscular tear at the greater curvature of the posterior wall of the stomach with the herniation of mucosa was demonstrated during autopsy. Impending rupture of the stomach with massive gastric hemorrhage was the diagnosis. Case 2 : Two-day-old male presented with massive bloody vomiting and abdominal distension beginning twenty hours after normal birth. During emergency operation a seromuscular tear at the greater curvature of the anterior wall of the stomach with herniation of mucosa due to massive gastric hemorrhage was found. Postoperative course was uneventful. It seems that the cause of impending gastric rupture in these two cases might be not only an elevation of intragastric pressure but also gastric ischemia due to diving relfex.
