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Mallory-Weiss Tear during Esophagogastroduodenoscopy

Ji Wan Kim1, Chan-Sup Shim1, Tae Yoon Lee1

  • 1Department of Internal Medicine, Konkuk University School of Medicine, Seoul, Korea.

Case Reports in Gastroenterology
|April 16, 2015
PubMed

Insights

Mallory-Weiss tears (MWTs) can lead to rare gastric perforations during endoscopy. Factors like hiatal hernia and older age may increase this risk, differing from typical gastroesophageal junction tears.

Area of Science:

  • Gastroenterology and Endoscopy
  • Gastrointestinal Pathology

Background:

  • Mallory-Weiss tears (MWTs) are longitudinal mucosal lacerations at the gastroesophageal junction, typically caused by forceful retching.
  • Serious complications from MWTs during esophagogastroduodenoscopy are infrequently reported.

Observation:

  • This case report details an 81-year-old female patient who experienced gastric perforation during an esophagogastroduodenoscopy procedure.
  • The patient was diagnosed with a Mallory-Weiss tear.

Findings:

  • The patient presented with gastric perforation, a rare complication of MWT.
  • Pre-existing conditions including hiatal hernia, atrophic gastritis, and advanced age were noted.
  • These factors may be associated with the development of gastric perforation, distinguishing it from typical MWT presentations.

Implications:

  • This case highlights the potential for severe complications during endoscopic evaluation of MWT.
  • Identifying risk factors such as hiatal hernia, atrophic gastritis, and advanced age is crucial for patient management.
  • Further research may elucidate the specific mechanisms linking these factors to MWT-associated gastric perforation.
Keywords:
EsophagogastroduodenoscopyGastric perforationMallory-Weiss tear

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