0.8 per 1000 to 5.1 per 1000. The increased mortality is
more common in very young or elderly patients.1
The
average rate of perforation when a patient presents to the
emergency department is 16-30%.14
As primary contact healthcare providers, it is extremely
important for chiropractors to be well versed in possible
differential diagnoses (See Table 1).17 It is pertinent that
we use our clinical tools to investigate an unusual history,