Mallory-Weiss tear

Recurrence of Mallory-Weiss tear is rare. However, it is important to counsel patients about precipitating factors such as alcohol, vomiting, excessive straining, lifting, and persistent cough that may lead to a recurrence. Limiting endoscopy time and the air inflow during endoscopy may prevent further or new tearing of the oesophago-gastro-enteric mucosa.

[Figure caption and citation for the preceding image starts]: 56-year-old female had a gastroscopy for upper GI bleeding 5 days prior treated with a single clip. She continued having melaena and low Hb for the following 5 days after initial procedure. A second gastroscopy detected a longitudinal gastric laceration without perforation on the corpus to cardiaFrom the collection of Juan Carlos Munoz, MD, University of Florida [Citation ends].[Figure caption and citation for the preceding image starts]: Diagnosed as a gastric tear without perforation from previous gastroscopy evaluation. Managed with application of haemoclips and emergency surgical consultFrom the collection of Juan Carlos Munoz, MD, University of Florida [Citation ends].[Figure caption and citation for the preceding image starts]: A total of seven haemoclips were appliedFrom the collection of Juan Carlos Munoz, MD, University of Florida [Citation ends].[Figure caption and citation for the preceding image starts]: 16 days later, the tear has closedFrom the collection of Juan Carlos Munoz, MD, University of Florida [Citation ends].