Short report
Oral presentation of an oesophageal mucosal tear
Sandeep Uppal, P R De
Department of
Otolaryngology, Queen's Hospital, Burton Hospitals NHS Trust,
Belvedere Road, Burton upon Trent, Staffordshire DE13 0RB, UK
Correspondence to: Mr PR De
Accepted 20 April 1999
Tears of the oesophageal wall following sudden forceful
vomiting are well documented in literature. In Boerhaave's syndrome there is transmural rupture associated with complications including pneumothorax, pneumomediastinum, surgical emphysema and shock. In
Mallory-Weiss syndrome mucosal tears are associated with haematemesis and shock. In neither of these conditions has intraluminal obstruction been described as an aetiological factor. We present a case with similar pathophysiology where oesophageal obstruction by a meat bolus
followed by forceful vomiting led to an oesophageal mucosal tear and
presentation of a band of oesophageal mucosa in the oral cavity. The
patient did not develop any complications and made an uneventful
recovery following conservative management.
Keywords: Boerhaave's syndrome; oesophageal wall rupture; vomiting; Mallory-Weiss syndrome
© 1999 by The Fellowship of Postgraduate Medicine
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