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October 1966

Esophageal Dyskinesia and the Mallory-Weiss Syndrome: Case Report

Author Affiliations

From the General Surgery Service, Wilford Hall USAF Hospital, Aerospace Medical Division (AFSC), Lackland Air Force Base.

Arch Surg. 1966;93(4):614-615. doi:10.1001/archsurg.1966.01330040078013

MASSIVE upper gastrointestinal hemorrhage from esophagogastric lacerations caused by vomiting was described first by Mallory and Weiss1 in 1929. As pointed out by Mallory and Weiss, Quincke2 first reported this entity in 1879 but failed to recognize the etiologic significance of vomiting. To the authors' knowledge, the patient reported is the youngest presenting with massive hemorrhage from the Mallory-Weiss syndrome.

Report of Case  A 19-year-old white male airman was admitted to Wilford Hall USAF Hospital on Sept 3, 1965, with a 24-hour history of repeated emesis. He was well until at bedtime the night before admission nausea and vomiting developed spontaneously. The patient denied any alcoholic intake during the week preceding this episode. Upon awakening the following morning, he noted dizziness as he stood up; subsequently, vague epigastric pain developed. He passed a single diarrheal stool that did not appear to contain gross blood. He vomited four times

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