Mallory-Weiss tear

Etiology

• multiple episodes of vomiting in an otherwise healthy person[2]
• heavy alcohol use before vomiting
• hematemesis after weightlifting
• bulimia

Pathology

• a mucosal tear at the gastroesophageal junction resulting from vomiting against a closed glottis.

Clinical manifestations

• vomiting
• hematemesis (small volume in healthy patients)
• most patients stop bleeding spontaneously
• recurrent bleeding is uncommon

Diagnostic procedures

• upper GI endoscopy

Management

• supportive
• endoscopy
• arterial angiotherapy
• proton pump inhibitor

More general terms

• upper gastrointestinal hemorrhage