The pains usually continued for several hours and subsided with vomiting.

At St.Bartholomew's he had an attack of vomiting after a debauch.

On the following day he was seized with vomiting accompanied by nausea and flatus, and after a sudden attack of pain at the pit of the stomach which continued for two hours, he died.
A ragged opening at the esophageal orifice, on the anterior surface of the stomach was found.

This tear extended from below the lesser curvature to its extremity, and was four inches long.

There were no signs of gastric carcinoma or ulcer.
Clarke reports the case of a Hindoo of twenty-two, under treatment for ague, who, without pain or vomiting, suddenly fell into collapse and died twenty-three hours later.