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Oesophageal perforation: an unusual complication of a hypoglycaemic episode.
  1. H Daya,
  2. D Wijetunge
  1. Accident and Emergency Department, St George's Hospital, Tooting.


    A case of spontaneous oesophageal rupture following vomiting, secondary to a hypoglycaemic episode is reported. The case is of interest in its presentation and physical signs. It reflects the difficulty in diagnosing a condition associated with considerable morbidity and mortality. The importance of recognition of a pattern of symptoms, physical signs and radiographic findings is emphasized.

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