ArticleJournal of surgical case reports2026
Mallory-Weiss tear with intestinal obstruction: case report and literature review.
Article in Journal of surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Mallory-Weiss tear (MWT) is a mucosal laceration at the esophagogastric junction. This case report aims to present a rare case of MWT associated with small bowel obstruction (SBO). A 74-year-old female presented with hematemesis and abdominal pain. Esophagogastroduodenoscopy (EGD) showed blood in the esophagus and stomach with a tear in the cardia. Computed tomography scan of the abdomen demonstrated multiple dilated small bowel loops with a distal ileal transition point in the pelvis. The patient underwent a midline laparotomy. Seven cases of MWT and SBO were identified. The most common presentation was hematemesis, seen in six patients (85.71%). Abdominal pain was reported in one case (14.28%). Two patients were treated with medication (28.57%), and five underwent surgery (71.42%). This study highlights the importance of recognizing MWT not merely as an isolated cause of upper gastrointestinal bleeding, but potentially as a secondary manifestation of increased intra-abdominal pressure.
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