A 60 years old male alcoholic presents with acute upper GI bleeding following bouts of vigrous vomiting. Most probable diagnosis is: (A) Acute gastritis, (B) Boerhaave's syndrome, (C) Mucosal and submucosal tear at cardiac orifice of stomach, (D) Esophageal carcinoma
Answer is C. Answer- C. Mucosal and submucosal tear at cardiac orifice of stomachMallory - Weiss syndromeIs characterized by mucosal tear at the gastroesophageal junction following a bout of forceful retching (or vomiting, coughing or straining.The clinical picture consists of acute upper gastrointestinal bleeding following bouts of retching or vomitting.Other frequent associations with Mallory-Weiss tears areHiatal herniaNSAIDs abuseDisease related bleeding diathesis.