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Postgrad Med J 1999;75:615-616 doi:10.1136/pgmj.75.888.615
  • Short report

Oral presentation of an oesophageal mucosal tear

  1. Sandeep Uppal,
  2. P R De
  1. Department of Otolaryngology, Queen's Hospital, Burton Hospitals NHS Trust, Belvedere Road, Burton upon Trent, Staffordshire DE13 0RB, UK
  1. Mr PR De
  • Accepted 20 April 1999

Abstract

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.

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