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2019, Number 5

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Rev Fac Med UNAM 2019; 62 (5)

Mallory-Weiss syndrome. Case report and brief review of the literature

Délano-Alonso R, Herrera-Esquivel JJ, Vera-Olguín AS, Sánchez-Albarrán JM, Heredia MS, Valenzuela-Salazar C
Full text How to cite this article

Language: Spanish
References: 14
Page: 16-20
PDF size: 152.33 Kb.


Key words:

Mallory Weiss Syndrome, lacerations of the gastroesophageal union mucosa.

ABSTRACT

Introduction: Mallory-Weiss syndrome is characterized by the longitudinal tear of the mucosa of the gastroesophageal junction. In the present work we have made a brief review of the literature useful for the medical student and we have accompanied a clinical case to illustrate the content developed here.
Case: A 40-year-old male attended the emergency department of our institution due to hematemesis, melena, hypovolemia, and 2-day history of hiccups. The patient referred alcohol consumption at a rate of 15 drinks every third day. During diagnostic endoscopy, a mucosal adherent clot of 5 mm was identified in the gastric esophageal junction, and a Mallory-Weiss tear was diagnosed. The treatment was performed by endoscopy. We opted for a local injection of Adrenaline with subsequent endoscopic ligation. The patient was discharged without complications.
Conclusion: The studies carried out on the Mallory-Weiss Syndrome have made it possible to update the information available. The technological and scientific advance has increased the success rates of the management of this identity.


REFERENCES

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  7. Battharai S, Raj Dewan K, Shrestha G, et al; Clinical and endoscopic pro le of patients with Mallory- Weiss tears. Asian Journal of Medical Sciences | Nov-Dec 2017 | Vol 8 | Issue 6

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  11. Park CH, Min SW, Sohn YH, et al. A prospective, randomized trial of endoscopic band ligation vs. epinephrine injection for actively bleeding Mallory-Weiss syndrome. Gastrointest Endosc. 2004 Jul. 60(1):22-7.

  12. Huang SP, Wang HP, Lee YC, Lin CC, Yang CS, Wu MS, et al. Endoscopic Hemoclip Placement and Epinephrine Injection for Mallory–Weiss Syndrome with Active Bleeding. Gastrointest Endosc 2002; 55(7):842–846.

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  14. Akhtar AJ and Padda MS. Natural history of Mallory- Weiss tear in African American and Hispanic patients. J Natl Med Assoc 2011; 103(5):412-415




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Rev Fac Med UNAM . 2019;62