We report on two cases of spontaneous intramural rupture and haematoma formation in the oesophagus. This is an unusual and often misdiagnosed condition. Its diagnosis relies on the history and a barium swallow. Instrumentation can result in further damage to the oesophagus and should be avoided. Treatment is conservative and results in resolution of the haematoma and a return to normal swallowing.

of the breast. An analysis of the 20. 21. 22. symptoms, factors affecting prognosis, results of treatment and recurrences in 121 1 cases treated at the Middlesex Hospital. Br J Cancer 1947; 1: 129-45. The Yorkshire Breast Cancer Group. Symptoms and signs of operable breast cancer, 1976-1981. Br J Surg 1983; 7 0 35&1. Antoniades K, Spector SC. Quantitative estrogen receptor values and growth carcinoma of the breast before surgical intervention. Cancer 1982; 5 0 793-6. 23. 24.