Spontaneous rupture of the normal colon in a patient not having a hernia is rare. Brown,4 Allen,2 and Weinstein and Roberts9 have each reported a single instance. Brearley3 and Hoffert7 each reported perforations, but the administration of a potent cathartic and the previous administration of an enema opens the question of iatrogenic cause.
An instance of spontaneous perforation of the normal colon was encountered by me, and because of the rarity of the condition it is reported.
Report of Case
A 60-year-old white man was admitted to the Carlisle Hospital on Feb. 17, 1955. Five hours prior to admission, while pushing his stalled automobile, he felt a "giving way" sensation in his lower abdomen followed within a few mingutes by severe lower abdominal pain. The pain increased steadily, and about an hour after the onset of pain he vomited several times. His previous medical history